Organization
WESTERN TIDEWATER COMMUNITY MENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW F JUREWICZ (FINANCE DIRECTOR)
(757) 966-2805
Entity
Organization
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8114
(757) 255-7117
(757) 255-7139
Mailing address
7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA 23435-2762
(757) 966-2805
(757) 673-2586
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
03/23/2026
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