NPI 1184263113
Goal Succeeders
Practice location
- Address
- 4401 Virginia Beach Blvd, Virginia Beach, VA 23462-3106
- Phone
- (757) 800-7806
- Mailing address
- 5217 Shady Grove Ln, Virginia Beach, VA 23462-1787
Authorised official
- Name
- Chaz Lamar Clyburn
- Title
- Certified Peer Counselor
- Phone
- (757) 800-7806
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1184263113
- Entity type
- Organization
- NPI issued
- 20 Dec 2019
- Record last updated
- 20 Dec 2019
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.