NPI 1104911122

Child of God Group Homesllc

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

Practice location

Address: 633 Ridgeway Ave, Hampton, VA 23661-1413
Phone: (757) 727-7807
Fax: (757) 727-9690

Authorised official

Name: Kendric McKnight
Title: Administrator
Phone: (757) 810-4711

Registered specialties

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 →

Registry record

NPI: 1104911122
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 22 Aug 2020

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.