Organization
SHINE THE LIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE L COLEMAN MD (CEO)
(757) 673-5255
Entity
Organization
Contact information
Practice address
1319 SPRATLEY ST, PORTSMOUTH, VA 23704-1810
(757) 639-7159
Mailing address
2107 SEASTONE TRCE, CHESAPEAKE, VA 23321-3768
(757) 673-5255
(757) 271-9116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
51223
VA
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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