Organization
MARYVIEW HOSPITAL
Active
Parent organization
MARYVIEW HOSPTIAL
Other names
BON SECOURS MARYVIEW BEHAVIORAL MEDICINE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVIEW HOSPTIAL
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2367
(757) 393-9343
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/28/2011
Last updated
05/29/2019
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