Western Tidewater Community Services Board

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1164416533

Western Tidewater Community Services Board is an Adolescent and Children Mental Health Clinic/Center in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in: VA
In the registry since: 2005

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Practice location Address checks out

5268 Godwin Blvd
Suffolk, VA 23434-8135
Phone: (757) 255-7100

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary)	Taxonomy 261QM0855X · Licence 0904002622 (VA)

Record details

NPI number	1164416533
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Emily Hughes — Clinician · (757) 255-7113
NPI enumerated	August 31, 2005
Last updated in NPPES	August 22, 2020
Mailing address	5268 Godwin Blvd, Suffolk, VA 23434-8135