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Organization

MOBILE MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL VINCENT CALLAHAN (CEO)
(757) 321-8360
Entity
Organization

Contact information

Practice address
5606 VIRGINIA BEACH BLVD, SUITE 103, VIRGINIA BEACH, VA 23462-5631
(757) 321-8360
(757) 321-8361
Mailing address
5606 VIRGINIA BEACH BLVD, SUITE 103, VIRGINIA BEACH, VA 23462-5631
(757) 321-8360
(757) 321-8361

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1111185297
VA

Other

Enumeration date
09/20/2012
Last updated
09/20/2012
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