Organization
CINMARCO
Active
Other names
Frey Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE HUMPHREY (PRACTICE MANAGER)
(804) 982-5830
Entity
Organization
Contact information
Practice address
1899 BILLINGSGATE CIR STE A, HENRICO, VA 23238-4243
(804) 938-9898
(804) 509-2403
Mailing address
9702 GAYTON RD # 219, HENRICO, VA 23238-4907
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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