# HIGHER HEIGHTS RESIDENTIAL SVC CTR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700021722
- **Authorized official:** MS. KIMBERLEE M MACK-MATTHEWS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (757) 737-8406

## Contact information

- **Practice address:** 1604 ELM AVE, PORTSMOUTH, VA 23704-4508
- **Practice address phone:** (757) 737-8406
- **Mailing address:** PO BOX 962, PORTSMOUTH, VA 23705-0962
- **Mailing address phone:** (757) 737-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1036 | VA | Yes |

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 12/04/2008