Organization
DESTINE FOR GREATNESS, LLC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA BROWN MOORE (OWNER)
(757) 355-2215
Entity
Organization
Contact information
Practice address
1035 BRYCE LN, VIRGINIA BEACH, VA 23464-4500
(757) 355-2215
Mailing address
1035 BRYCE LN, VIRGINIA BEACH, VA 23464-4500
(757) 355-2215
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
10/01/2019
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