Organization
COMMUNITY EDUCATION CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CALVIN WILLIS SR. M.S., LPC (PROGRAM DIRECTOR)
(757) 739-1703
Entity
Organization
Contact information
Practice address
801 SANDERSON RD, CHESAPEAKE, VA 23322-2075
(757) 421-0095
(757) 421-7124
Mailing address
840 SOMMERVILLE CRES, CHESAPEAKE, VA 23320-4841
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
0701003547
VA
324500000X
Substance Abuse Rehabilitation Facility
Primary
3810
NC
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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