Organization
OLLIVIER COMMUNITY CIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKIRRA PINNOCK (CEO/FOUNDER)
(703) 387-6025
Entity
Organization
Contact information
Practice address
1020 LECKIE ST, PORTSMOUTH, VA 23704-1904
(703) 387-6025
Mailing address
1020 LECKIE ST, PORTSMOUTH, VA 23704-1904
(703) 387-6025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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