Whalio Doctors

NPI 1083393086

Heritage Behavioral Health LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hampton, VA

Practice location

Address
139 W Cummings Ave, Hampton, VA 23663-2203
Phone
(757) 532-6792

Authorised official

Name
Lashawnda Deletrice Terry
Title
Owner
Phone
(757) 532-6792

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1083393086
Entity type
Organization
NPI issued
17 Jul 2023
Record last updated
5 Dec 2023

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.