institution
Tiderwater Youth Service Commission
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia
NPI 1215165451

Tiderwater Youth Service Commission is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Portsmouth, VA. Tiderwater Youth Service Commission practices in Portsmouth, VA. The NPI Number for Tiderwater Youth Service Commission is 1215165451 and holds a License No. (Virginia).

The current practice location address for Tiderwater Youth Service Commission is 2404 Airline Blvd, Portsmouth, VA and can be reached out via phone at 757-488-9382. You can also correspond with Tiderwater Youth Service Commission through the mailing address at 2404 AIRLINE BLVD, PORTSMOUTH, VA - 23701-2912 (mailing address contact number: 757-488-9382).

Location: 2404 Airline Blvd, Portsmouth, VA, 23701-2912
institution
Provider Profile Details
NPI Number
1215165451
Provider Name
Tiderwater Youth Service Commission
Credential
Provider Entity Type
Organization
Address
2404 Airline Blvd, Portsmouth, VA, 23701-2912
Phone Number
757-488-9382
Fax Number
Provider Enumeration Date
06/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2404 Airline Blvd
City
State
Zip
23701-2912
Phone Number
757-488-9382
Fax Number
person
Provider Business Mailing Address Details
Address
2404 Airline Blvd
City
State
Zip
23701-2912
Phone Number
757-488-9382
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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