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Refuel Life Trauma Center, Llc
Multi-Specialty Clinic/Center in Chesapeake, Virginia
NPI 1518732965

Refuel Life Trauma Center, Llc is a Multi-Specialty Clinic/Center based in Chesapeake, VA and is specialized in Multi-Specialty. Refuel Life Trauma Center, Llc practices in Chesapeake, VA. The NPI Number for Refuel Life Trauma Center, Llc is 1518732965 and holds a License No. (Virginia).

The current practice location address for Refuel Life Trauma Center, Llc is 100 Sabal Palm Ln Apt 303, Chesapeake, VA and can be reached out via phone at 757-288-8794.

Location: 100 Sabal Palm Ln Apt 303, Chesapeake, VA, 23320-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518732965
Provider Name
Refuel Life Trauma Center, Llc
Credential
Provider Entity Type
Organization
Address
100 Sabal Palm Ln Apt 303, Chesapeake, VA, 23320-1734
Phone Number
757-288-8794
Fax Number
Provider Enumeration Date
11/15/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629719786 01 VA INDIVIDUAL NNPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
100 Sabal Palm Ln Apt 303
City
Chesapeake
State
Virginia
Zip
23320-1734
Phone Number
757-288-8794
Fax Number
person
Provider Business Mailing Address Details
Address
100 Sabal Palm Ln Apt 303
City
Chesapeake
State
Virginia
Zip
23320-1734
Phone Number
757-288-8794
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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