NPI 1073748190
Divind Behavioral Services,inc
Practice location
- Address
- 13813 Warwick Blvd 200, Newport News, VA 23602-3755
- Phone
- (757) 833-6291
- Mailing address
- 13813 Warwick Blvd 200, Newport News, VA 23602
Authorised official
- Name
- Sara Pacita Goddard
- Title
- Owner
- Phone
- (757) 833-6291
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1073748190
- Entity type
- Organization
- NPI issued
- 19 May 2009
- Record last updated
- 19 May 2009
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.