Tiderwater Youth Service Commission
Tiderwater Youth Service Commission is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2009.
- Licensed in
- VA
- In the registry since
- 2009
Practice location Address checks out
2404 Airline BlvdPortsmouth, VA 23701-2912
Phone: (757) 488-9382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (VA) |
|---|
Record details
| NPI number | 1215165451 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karis Holder — Counselor Coordinator · (757) 488-9382 |
| NPI enumerated | June 25, 2009 |
| Last updated in NPPES | June 25, 2009 |
| Mailing address | 2404 Airline Blvd, Portsmouth, VA 23701-2912 |
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