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Organization
CWQ OASIS LOVE
Active
Organization
CWQ OASIS LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUADIR PETTAWAY (DIRECTOR)
(757) 342-3981
Entity
Organization
Contact information
Practice address
670 TRAILS LN, NEWPORT NEWS, VA 23608-8250
(757) 342-3981
Mailing address
670 TRAILS LN, NEWPORT NEWS, VA 23608-8250
(757) 342-3981
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/21/2026
Last updated
09/21/2026
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