Organization
BRIGHTON BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MOORE (CFO)
(757) 391-6734
Entity
Organization
Contact information
Practice address
1801 PORTSMOUTH BLVD, PORTSMOUTH, VA 23704
(757) 398-0300
(757) 398-0340
Mailing address
301 FORT LANE, PORTSMOUTH, VA 23704
(757) 393-0061
(757) 391-5931
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
299-14-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207012
—
VA
Enumeration date
07/12/2006
Last updated
11/18/2011
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