Organization
JAMES BENTLEY TREATMENT PROGRAM
Active
Parent organization
HAVEN HOUSE FOR GIRLS
Other names
Haven House for Girls
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN HOUSE FOR GIRLS
Authorized official
SANDRA PINNOCK (DIRECTOR)
(757) 399-4742
Entity
Organization
Contact information
Practice address
1020 LECKIE STREET, PORTSMOUTH, VA 23704
(757) 399-4742
(757) 675-7965
Mailing address
1020 LECKIE STRTEET, PORTSMOUTH, VA 23704
(757) 399-3742
(757) 673-7965
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
78214002
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78214002
—
VA
Enumeration date
10/06/2009
Last updated
10/06/2009
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