| Organization Name: | JAMES BENTLEY TREATMENT PROGRAM |
| NPI Number: | 1003141227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA PINNOCK (DIRECTOR) |
| Mailing Address: | 1020 Leckie St Portsmouth |
| State: | VA US |
| Postal Code: | 237041904 |
| Phone Number: | 7573994742 |
| Fax Number: | 7576737965 |
| NPI Enumeration Date: | 10/06/2009 |
| NPI Last Update Date: | 10/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 78205001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |