NPI 1083422604

Creating Chances of Change Behavioral & Mental Health Services

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Portsmouth, VA

Practice location

Address: 355 Crawford St, Portsmouth, VA 23704-2816
Phone: (833) 774-9633

Authorised official

Name: Keenen Mapp
Title: Director
Phone: (833) 774-9633

Registered specialties (4)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Case Management Agency

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1083422604
Entity type: Organization
NPI issued: 28 Dec 2024
Record last updated: 18 Mar 2026

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.