Organization · NPI-2

Divind Behavioral Services,inc

Community Based Residential Treatment Facility, Mental Illness · Newport News, VA

NPI number1073748190
StatusActive
Last updated in NPPESMay 19, 2009

Details

NPI
1073748190
Entity type
Organization (NPI-2)
Legal business name
Divind Behavioral Services,inc
Organization subpart
No
Enumeration date
May 19, 2009
Last updated
May 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320800000X Community Based Residential Treatment Facility, Mental Illness–VAYes

Practice location

13813 Warwick Blvd
200
Newport News, VA 23602-3755

Phone 757-833-6291

Mailing address

13813 Warwick Blvd
200
Newport News, VA 23602

Phone 757-833-6291

Authorized official

Sara Pacita Goddard
Owner
7578336291

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