Organization
PACE MENTAL HEATLH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOBGOOD (ACCOUNT MANAGER)
(904) 302-9254
Entity
Organization
Contact information
Practice address
8348 TRAFORD LN STE 301, SPRINGFIELD, VA 22152-1650
(571) 350-3060
(757) 561-2625
Mailing address
8348 TRAFORD LN STE 301, SPRINGFIELD, VA 22152-1650
(571) 350-3060
(757) 561-2625
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
0101043183
VA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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