Organization
FAMILY DETERMINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ARENDA JACKSON QMHP (CEO)
(757) 450-2300
Entity
Organization
Contact information
Practice address
2727 OKLAHOMA AVE, SUITE A, NORFOLK, VA 23513-4207
(757) 450-2300
(757) 961-1800
Mailing address
2727 OKLAHOMA AVE, SUITE A, NORFOLK, VA 23513-4207
(757) 450-2300
(757) 961-1800
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1412
VA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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