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The Patches Group, LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Virginia Beach, VA. Organization (NPI-2).

NPI number1760103543
StatusActive
Last updated in NPPESSep 9, 2022

Details

NPI
1760103543
Entity type
Organization (NPI-2)
Legal business name
The Patches Group, LLC
Organization subpart
No
Enumeration date
Sep 8, 2022
Certification date
Sep 9, 2022
Last updated
Sep 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

600 Grant Ave
Virginia Beach, VA 23452-3113

Phone 757-289-3283

Mailing address

Po Box 849
Virginia Beach, VA 23451-0849

Phone 757-289-3283

Other practice locations

749 Garfield Ave
Virginia Beach, VA 23452-4013

Phone 757-289-3283

Authorized official

Christopher Phillips
Executive Director
7572893283

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