NPI 1891008710

Nadiya House, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Petersburg, VA

Practice location

Address: 123 S Chappell St, Petersburg, VA 23803-3910
Phone: (804) 919-1826
Mailing address: PO Box 146, Colonial Heights, VA 23834-0146

Authorised official

Name: Shirley Hartense Scott
Title: Owner
Phone: (804) 862-2340

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1265 (VA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Virginia →

Registry record

NPI: 1891008710
Entity type: Organization
NPI issued: 20 Jul 2010
Record last updated: 20 Jul 2010

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.