NPI 1639944150

Inseparablegrp

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

Practice location

Address: 115 Bowman Dr, Suffolk, VA 23434-2362
Phone: (917) 890-0225

Authorised official

Name: Amanda Sowah
Title: Owner
Phone: (917) 890-0225

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Virginia →

Registry record

NPI: 1639944150
Entity type: Organization
NPI issued: 15 Nov 2023
Record last updated: 15 Nov 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.