Organization
OMNIPOTENT COMMUNITY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE WHITEHEAD (PRESIDENT)
(757) 484-3000
Entity
Organization
Contact information
Practice address
3800 POPLAR HILL RD STE D, CHESAPEAKE, VA 23321-5522
(757) 484-3000
Mailing address
3800 POPLAR HILL RD STE D, CHESAPEAKE, VA 23321-5522
(757) 484-3000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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