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Organization

THE LIGHT COMMUNITY ACTION GROUP, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IDELL WALKER (OWNER)
(757) 753-3153
Entity
Organization

Contact information

Practice address
2506 JEFFERSON AVE STE 111, NEWPORT NEWS, VA 23607-4502
(757) 995-6036
(757) 527-2567
Mailing address
1 DRAPER CIR, HAMPTON, VA 23666-5025

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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