Organization
JUST BY 5 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD TAYLOR (CEO)
(757) 237-6257
Entity
Organization
Contact information
Practice address
3707 VIRGINIA BEACH BLVD, SUITE 218, VIRGINIA BEACH, VA 23452-3412
(757) 237-6257
Mailing address
3707 VIRGINIA BEACH BLVD, SUITE 218, VIRGINIA BEACH, VA 23452-3957
(757) 237-6257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1649-03-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649-03-001
LICENSE NUMBER
VA
Enumeration date
03/15/2011
Last updated
08/31/2011
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