Whalio Doctors

NPI 1376638510

Circle of Friends, LLC

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

Practice location

Address
1520 Breezeport Way Suite 500, Suffolk, VA 23435-3754
Phone
(757) 638-4000
Fax
(757) 638-4003

Authorised official

Name
Valencia Ballard-Jones
Title
President
Phone
(757) 638-4000

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 387-01-001 (VA)

Registry record

NPI
1376638510
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.