Organization
NANAS HOUSE NEWPORT NEWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN TYNES MBA/CPHIMS (FOUNDER)
(240) 281-7653
Entity
Organization
Contact information
Practice address
2706 MARSHALL AVE, NEWPORT NEWS, VA 23607-4120
(757) 247-6472
Mailing address
2706 MARSHALL AVE, NEWPORT NEWS, VA 23607-4120
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2370-02-001
VA
Other
Enumeration date
01/01/2017
Last updated
01/01/2017
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