Organization
CAMP LOUD AND SERVICES
Active
Other names
Camp Loud
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRA SMITH-JONES (OWNER)
(757) 609-8914
Entity
Organization
Contact information
Practice address
3280 ACADEMY AVE, PORTSMOUTH, VA 23703-3203
(757) 271-4555
Mailing address
3280 ACADEMY AVE, PORTSMOUTH, VA 23703-3203
(757) 271-4555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
07/09/2019
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