Whalio Doctors

NPI 1093040214

James Bentley Treatment Program

Organisation Mental Illness Community Based Residential Treatment Facility Portsmouth, VA

Practice location

Address
1020 Leckie Street, Portsmouth, VA 23704
Phone
(757) 399-4742
Fax
(757) 675-7965
Mailing address
1020 Leckie Strteet, Portsmouth, VA 23704

Authorised official

Name
Sandra Pinnock
Title
Director
Phone
(757) 399-4742

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 78214002 (VA)

Registry record

NPI
1093040214
Entity type
Organization
NPI issued
6 Oct 2009
Record last updated
6 Oct 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.