Va Smile Foundation, INC.
Social Worker, Clinical in Hampton, VA. Organization (NPI-2).
NPI number1043051642
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1043051642
- Entity type
- Organization (NPI-2)
- Legal business name
- Va Smile Foundation, INC.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
12 Musket LnHampton, VA 23666-5345
Phone 757-927-7477 · Fax 757-654-3194
Mailing address
110 Coliseum Xing Ste 5142Hampton, VA 23666-5971
Phone 757-927-7477 · Fax 757-654-3194
Authorized official
Kenyuatia Lynn Gash
Chief Executive Officer
7579277477
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