Organization
VIRGINIA SOUTH PSYCHIATRIC & FAMILY SERVICES
Active
Organization
VIRGINIA SOUTH PSYCHIATRIC & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JOSEPH VADELLA (PRACTICE ADMINISTRATOR)
(804) 518-6504
Entity
Organization
Contact information
Practice address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805
(804) 861-0700
(804) 863-4626
Mailing address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805
(804) 518-6504
(804) 863-4626
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010325994
—
VA
Enumeration date
08/04/2006
Last updated
09/12/2022
Update your record
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