Organization
EAST END INTENSIVE OUTPATIENT PROGRAM
Active
Organization
EAST END INTENSIVE OUTPATIENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE COOPER WATKINS (MCAID COORDINATOR)
(757) 247-0039
Entity
Organization
Contact information
Practice address
2010 27TH ST, NEWPORT NEWS, VA 23607-4912
(757) 247-0039
(757) 247-0158
Mailing address
2010 27TH ST, NEWPORT NEWS, VA 23607-4912
(757) 247-0039
(757) 247-0158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320
VA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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