NPI 1033216734
Cmj Positive Change LLC
Practice location
- Address
- 202 Lee St 202 Lee St, Suffolk, VA 23434-5319
- Phone
- (757) 923-1200
- Fax
- (757) 638-7662
- Mailing address
- 202 Lee St, Suffolk, VA 23434-5319
Authorised official
- Name
- Isalene D Anderson
- Title
- Partner
- Phone
- (757) 342-4183
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1033216734
- Entity type
- Organization
- NPI issued
- 17 Sep 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.