Organization
MILE HIGH KIDS THERAPEUTIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARDELL C PATILLO JR. DHA (EXECUTIVE DIRECTOR / OWNER)
(757) 962-8005
Entity
Organization
Contact information
Practice address
2712 SOUTHERN BLVD STE 200, VIRGINIA BEACH, VA 23452-7429
(757) 962-8005
Mailing address
2712 SOUTHERN BLVD STE 200, VIRGINIA BEACH, VA 23452-7429
(757) 962-8005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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