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Individual

MR. THOMAS BELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
207 WILDLIFE TRCE, CHESAPEAKE, VA 23320-4013
(757) 667-0441
Mailing address
207 WILDLIFE TRCE, CHESAPEAKE, VA 23320-4013
(757) 667-0441

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
08/14/2019
Last updated
05/06/2023
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