NPI 1083393086
Heritage Behavioral Health LLC
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
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.