Individual
SAMANTHA BATTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 S INDEPENDENCE BLVD STE 115, VIRGINIA BEACH, VA 23452-1129
(701) 651-2001
Mailing address
485 S INDEPENDENCE BLVD STE 115, VIRGINIA BEACH, VA 23452-1129
(701) 651-2001
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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