Organization
CHILDREN OF THE KINGDOM FAMILY SUPPORT SRRVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORA JOHNSON (CEO)
(757) 775-1612
Entity
Organization
Contact information
Practice address
610 THIMBLE SHOALS BLVD STE 201D, NEWPORT NEWS, VA 23606-4510
(757) 775-1612
Mailing address
610 THIMBLE SHOALS BLVD STE 201D, NEWPORT NEWS, VA 23606-4510
(757) 775-1612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2640
VA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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