Organization
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Active
Other names
Bon Secours Behavioral Health Group at Memorial Regional
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
8220 MEADOWBRIDGE RD # MOBI, SUITE 308, MECHANICSVILLE, VA 23116-2336
(804) 325-8882
(804) 764-3280
Mailing address
8220 MEADOWBRIDGE RD # MOBI, SUITE 308, MECHANICSVILLE, VA 23116-2336
(804) 325-8882
(804) 764-3280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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