Organization
AZA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BELIN (CEO)
(757) 581-1708
Entity
Organization
Contact information
Practice address
944 POLLARD ST, NORFOLK, VA 23504-1932
(757) 581-1708
(410) 874-0997
Mailing address
2819 MYRTLE AVE, NORFOLK, VA 23504-4009
(757) 581-1708
(410) 874-0977
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2313-01-001
VA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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