CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC is an addiction medicine internal medicine in Norfolk, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLEANSLATE MEDICAL GROUP OF VIRGINIA, LLC NPI is 1629549779. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
160 KINGSLEY LN STE 303
NORFOLK, VA
ZIP 23505-600
Phone: (413) 584-2173
The provider's authorized official is Robert Hutchison .
The authorized official title is Cfo and has the following contact phone number (615) 425-0220.
The CLIA number assigned to this NPI record is 22D2061361 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/16/2018 and was last updated on 7/2/2019.