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Jason Durel Vann
Substance Abuse Rehabilitation Facility in Suffolk, Virginia
NPI 1346020724

Jason Durel Vann is a Substance Abuse Rehabilitation Facility based in Suffolk, VA. Jason Durel Vann practices in Suffolk, VA. The NPI Number for Jason Durel Vann is 1346020724 and holds a License No. (Virginia).

The current practice location address for Jason Durel Vann is 8122 Lee Hall Ave, Suffolk, VA and can be reached out via phone at 757-452-8009.

Location: 8122 Lee Hall Ave, Suffolk, VA, 23435-3444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346020724
Provider Name
Jason Durel Vann
Credential
Provider Entity Type
Individual
Gender
Male
Address
8122 Lee Hall Ave, Suffolk, VA, 23435-3444
Phone Number
757-452-8009
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8122 Lee Hall Ave
City
Suffolk
State
Virginia
Zip
23435-3444
Phone Number
757-452-8009
Fax Number
person
Provider Business Mailing Address Details
Address
8122 Lee Hall Ave
City
Suffolk
State
Virginia
Zip
23435-3444
Phone Number
757-452-8009
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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