institution
Western Tidewater Community Services Board
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Suffolk, Virginia
NPI 1669558813

Western Tidewater Community Services Board is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Suffolk, VA. Western Tidewater Community Services Board practices in Suffolk, VA. The NPI Number for Western Tidewater Community Services Board is 1669558813 and holds a License No. (Virginia).

The current practice location address for Western Tidewater Community Services Board is 130 Suburban Dr, Suffolk, VA and can be reached out via phone at 757-255-7127. You can also correspond with Western Tidewater Community Services Board through the mailing address at 5268 GODWIN BLVD, SUFFOLK, VA - 23434-8135 (mailing address contact number: 757-255-7127).

Location: 130 Suburban Dr, Suffolk, VA, 23434-8135
institution
Provider Profile Details
NPI Number
1669558813
Provider Name
Western Tidewater Community Services Board
Credential
Provider Entity Type
Organization
Address
130 Suburban Dr, Suffolk, VA, 23434-8135
Phone Number
757-255-7127
Fax Number
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
130 Suburban Dr
City
State
Zip
23434-2625
Phone Number
757-255-7127
Fax Number
person
Provider Business Mailing Address Details
Address
130 Suburban Dr
City
State
Zip
23434-2625
Phone Number
757-255-7127
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.
()
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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