Organization
HERITAGE BEHAVIORAL HEALTH LLC
Active
Other names
Heritage Behavioral Health, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWNDA DELETRICE TERRY (OWNER)
(757) 532-6792
Entity
Organization
Contact information
Practice address
139 W CUMMINGS AVE, HAMPTON, VA 23663-2203
(757) 532-6792
Mailing address
139 W CUMMINGS AVE, HAMPTON, VA 23663-2203
(757) 532-6792
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
12/05/2023
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