NPI 1164291720

Primary Habitat LLC

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

Practice location

Address: 610 Mile Creek Ln, Chesapeake, VA 23322-1280
Phone: (704) 232-0063

Authorised official

Name: Clayton Wright
Title: Founder/Ceo
Phone: (704) 232-0063

Registered specialties (7)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Assisted Living Facility (Mental Illness)

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Assisted Living Facility (Behavioral Disturbances)

Nursing & Custodial Care Facilities Taxonomy 3104A0630X

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1164291720
Entity type: Organization
NPI issued: 25 Dec 2023
Record last updated: 25 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.