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1205609807
COASTAL TRANQUILITY BEHAVIORAL HEALTH LLC
VIRGINIA BEACH, VA
NPI
1205609807
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Entity Type
Organization
Authorized Contact
JENNIFER BAINUM
Owner
619-417-0654
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-11-06
Last Update Date
2024-09-03
Business Address
COASTAL TRANQUILITY BEHAVIORAL HEALTH LLC
925 OLD HOMESTEAD LN
VIRGINIA BEACH, VA 23464-4013
Phone number: 757-752-8682
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Mailing Address
COASTAL TRANQUILITY BEHAVIORAL HEALTH LLC
110 COLISEUM XING # 5353
HAMPTON, VA 23666-5971
Phone number: 757-752-8682
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