Organization
GREATER PASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYNESHA JORDAN (DIRECTOR)
(757) 778-7056
Entity
Organization
Contact information
Practice address
271 BRITTLEBRUSH DR, PORTSMOUTH, VA 23701-4327
(904) 742-3332
Mailing address
271 BRITTLEBRUSH DR, PORTSMOUTH, VA 23701-4327
(904) 742-3332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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