Ida Maez Adult Living LLC
NPI #1912688664 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1912688664
- Entity Type
- Organization
- Organization Name
- Ida Maez Adult Living LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 26, 2023
- Last Updated
- Jul 26, 2023
Practice Location
- Address
- 4824 GEORGE WASHINGTON HWY
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23702-2410
- Phone
- (757) 537-0334
Authorized Official
- Name
- MRS. DONISE ANDERSON
- Title
- CEO
- Phone
- (757) 771-9879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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