NPI 1164416533

Western Tidewater Community Services Board

Organisation Adolescent and Children Mental Health Clinic/Center Suffolk, VA

Practice location

Address: 5268 Godwin Blvd, Suffolk, VA 23434-8135
Phone: (757) 255-7100

Authorised official

Name: Emily Bowe Hughes
Title: Clinician
Phone: (757) 255-7113

Registered specialties

Adolescent and Children Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence 0904002622 (VA)

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Registry record

NPI: 1164416533
Entity type: Organization
NPI issued: 31 Aug 2005
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.