Organization
INDIVIDUALS FIRST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MACCRACKEN (PROGRAM DIRECTOR)
(757) 560-2608
Entity
Organization
Contact information
Practice address
4845 WOODS EDGE RD, VIRGINIA BEACH, VA 23462-7267
(757) 560-2608
(757) 497-6623
Mailing address
PO BOX 61246, VIRGINIA BEACH, VA 23466-1246
(757) 560-2608
(757) 497-6623
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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