Tidewater Therapeutic Afterschool
Tidewater Therapeutic Afterschool is a Community/Behavioral Health Agency in Hampton, Virginia. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
Practice location Address checks out
12 Salters Creek RdHampton, VA 23661-2453
Phone: (757) 380-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1742 (VA) |
|---|
Record details
| NPI number | 1881032183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Princetta Wooten — President · (757) 592-7584 |
| NPI enumerated | June 7, 2013 |
| Last updated in NPPES | June 7, 2013 |
| Mailing address | 12 Salters Creek Rd, Hampton, VA 23661-2453 |
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