Organization
DIVIND BEHAVIORAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA PACITA GODDARD (OWNER)
(757) 833-6291
Entity
Organization
Contact information
Practice address
13813 WARWICK BLVD, 200, NEWPORT NEWS, VA 23602-3755
(757) 833-6291
Mailing address
13813 WARWICK BLVD, 200, NEWPORT NEWS, VA 23602
(757) 833-6291
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
VA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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