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Organization

ROSARIO FOUNDATION OF LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT CLAYTON ROSARIO (CHIEF EXECUTIVE OFFICER)
(757) 773-8211
Entity
Organization

Contact information

Practice address
1838 BLOOMFIELD DR, VIRGINIA BEACH, VA 23453-5524
(757) 773-8211
Mailing address
206 TIGERLILLY DR, PORTSMOUTH, VA 23701-2726
(757) 773-8211

Taxonomy

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

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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