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Organization

INSPIRATION HEALTH ADDICTION TREATMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEAH HANCOCK (MANAGING MEMBER)
(757) 938-3654
Entity
Organization

Contact information

Practice address
1729 WILDWOOD DR STE 103, VIRGINIA BEACH, VA 23454-3176
(757) 938-3654
(757) 938-3658
Mailing address
1729 WILDWOOD DR STE 103, VIRGINIA BEACH, VA 23454-3176
(757) 938-3654
(757) 938-3658

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659977346
M396
VA
Enumeration date
12/08/2020
Last updated
06/02/2022
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