Organization
STRONG FOUNDATION YOUTH INITIATIVE - TIDEWATER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ASHFORD QMHP (CEO)
(757) 306-1390
Entity
Organization
Contact information
Practice address
3634 S PLAZA TRL, SUITE 201, VIRGINIA BEACH, VA 23452-3351
(757) 306-1390
(757) 306-1391
Mailing address
3634 S PLAZA TRL, SUITE 201, VIRGINIA BEACH, VA 23452-3351
(757) 306-1390
(757) 306-1391
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
806
VA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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