NPI 1487405080
Adolescent Growth Virginia, INC
Practice location
- Address
- 1702 Cloncurry Rd, Norfolk, VA 23505-1718
- Phone
- (888) 948-9998
- Fax
- (888) 751-6166
- Mailing address
- 60 N Lotus Ave, Pasadena, CA 91107-3811
Authorised official
- Name
- John Lewis
- Title
- Cfo
- Phone
- (626) 768-1742
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1487405080
- Entity type
- Organization
- NPI issued
- 1 Apr 2024
- Record last updated
- 1 Apr 2024
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.