Organization
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BOWE HUGHES LCSW (CLINICIAN)
(757) 255-7113
Entity
Organization
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7100
Mailing address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8135
(757) 255-7100
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0904002622
VA
Other
Enumeration date
08/31/2005
Last updated
08/22/2020
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