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City Of Chesapeake

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chesapeake, VA. Organization (NPI-2).

NPI number1558778704
StatusActive
Last updated in NPPESJul 21, 2014

Details

NPI
1558778704
Entity type
Organization (NPI-2)
Legal business name
City Of Chesapeake
Organization subpart
No
Enumeration date
Jul 21, 2014
Last updated
Jul 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities141010005VAYes

Other names

  • Chesapeake Integrated Behavioral Healthcare (Doing Business As)

Practice location

1829 Rokeby Ave
Chesapeake, VA 23320-2261

Phone 757-282-6639 · Fax 757-282-6814

Mailing address

224 Great Bridge Blvd
Chesapeake, VA 23320-3904

Phone 757-547-9334 · Fax 757-819-6292

Authorized official

Joseph Scislowicz
Executive Director
7578196214

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