Organization
INNERVATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VONDA R ALSTON MA, EDS, QMHP, CSAC (PRESIDENT/CEO)
(757) 673-4430
Entity
Organization
Contact information
Practice address
3100 LONDON BLVD, SUITE 2, PORTSMOUTH, VA 23707-3402
(757) 673-4430
(757) 673-4432
Mailing address
3100 LONDON BLVD, SUITE 2, PORTSMOUTH, VA 23707-3402
(757) 673-4430
(757) 673-4432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/10/2011
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