Organization
FLOURISH HEALTH MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HASKELL (PRESIDENT)
(650) 863-4774
Entity
Organization
Contact information
Practice address
1655 FORT MYER DR STE 700, ARLINGTON, VA 22209-3199
(650) 863-4774
Mailing address
201 W MAIN ST, DURHAM, NC 27701-3228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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