NPI 1104873330 WESTERN TIDEWATER COMMUNITY SERVICES BOARD SUFFOLK VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Western Tidewater Community Services Board - NPI: 1104873330

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: WESTERN TIDEWATER COMMUNITY SERVICES BOARD
NPI Number: 1104873330
Entity Type Code: Organizational (2)
Authorized Official Name: DEMETRIOS PERATSAKIS
(EXECUTIVE DIRECTOR)
Mailing Address: 22501 Thomas Woods Trl
Zuni
State: VA US
Postal Code: 238982611
Phone Number: 7572424506
Fax Number:
NPI Enumeration Date: 05/31/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320900000X
License Number: 084-01-001
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
Taxonomy Specialization:
Taxonomy Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


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