NPI 1154210003
Brookshaven LLC
Practice location
- Address
- 1503 Lasalle Ave, Portsmouth, VA 23704-4639
- Phone
- (757) 822-3835
- Fax
- (888) 830-5926
- Mailing address
- 1503 Lasalle Ave Unit C, Portsmouth, VA 23704-4639
Authorised official
- Name
- Kristal B Brooks
- Title
- Program Manager
- Phone
- (757) 822-3835
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1154210003
- Entity type
- Organization
- NPI issued
- 2 Jul 2025
- Record last updated
- 2 Jul 2025
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.