Organization
GREENBRIER CENTER FOR BEHAVIORAL MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FAUSTINO IGNACIO MD (PRESIDENT & CEO)
(757) 547-1638
Entity
Organization
Contact information
Practice address
3755 E VIRGINIA BEACH BLVD, NORFOLK, VA 23502-3238
(757) 664-7699
Mailing address
1206 FAIRWAY DR, CHESAPEAKE, VA 23320-9400
(757) 547-1638
(757) 549-0663
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101046136
VA
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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