Organization
CENTRAL PARK BEHAVIORAL HEALTH
Active
Parent organization
DESTINY'S HOUSE RESIDENTIAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINY'S HOUSE RESIDENTIAL SERVICES, LLC
Authorized official
MS. PATRICE LAVONNE MATTHEWS (DIRECTOR)
(757) 469-0332
Entity
Organization
Contact information
Practice address
610 THIMBLE SHOALS BLVD STE 202B, NEWPORT NEWS, VA 23606-4511
(757) 327-0203
(757) 327-0228
Mailing address
610 THIMBLE SHOALS BLVD STE 202B, NEWPORT NEWS, VA 23606-4511
(757) 327-0203
(757) 903-0531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
12/10/2018
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