Whalio Doctors

NPI 1700021722

Higher Heights Residential Svc Ctr LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Portsmouth, VA

Practice location

Address
1604 Elm Ave, Portsmouth, VA 23704-4508
Phone
(757) 737-8406
Mailing address
PO Box 962, Portsmouth, VA 23705-0962

Authorised official

Name
Kimberlee M Mack-Matthews
Title
Chief Financial Officer
Phone
(757) 737-8406

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 1036 (VA)

Registry record

NPI
1700021722
Entity type
Organization
NPI issued
4 Dec 2008
Record last updated
4 Dec 2008

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.