# PRIMARY HABITAT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164291720
- **Authorized official:** CLAYTON WRIGHT PHD (FOUNDER/CEO)
- **Authorized official phone:** (704) 232-0063

## Contact information

- **Practice address:** 610 MILE CREEK LN, CHESAPEAKE, VA 23322-1280
- **Practice address phone:** (704) 232-0063
- **Mailing address:** 610 MILE CREEK LN, CHESAPEAKE, VA 23322-1280
- **Mailing address phone:** (704) 232-0063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 310400000X | Assisted Living Facility | — | — | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | — | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 12/25/2023
- **Last updated:** 12/25/2023