Organization
OMEGA II THERAPEUTIC AFTER SCHOOL
Active
Organization
OMEGA II THERAPEUTIC AFTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN AUBREY PARKER (CEO)
(757) 256-0203
Entity
Organization
Contact information
Practice address
256 E ELLERSLIE AVE STE B, COLONIAL HEIGHTS, VA 23834-1407
(757) 256-0203
Mailing address
256 E ELLERSLIE AVE STE B, COLONIAL HEIGHTS, VA 23834-1407
(757) 256-0203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1325
VA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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