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Organization

E D & THOMAS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY GRIFFIN (PROGRAM DIRECTOR)
(757) 286-4352
Entity
Organization

Contact information

Practice address
2527 E VIRGINIA BEACH BLVD, NORFOLK, VA 23504-3625
(757) 671-9561
(757) 671-9561
Mailing address
2527 E VIRGINIA BEACH BLVD, NORFOLK, VA 23504-3625

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
07/15/2016
Last updated
07/15/2016
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