Organization
KSSLR GROUP LLC
Active
Other names
KSSLR BEHAVIORAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIND HARRIS (OWNER/CHIEF EXECUTIVE DIRECTOR)
(757) 328-7817
Entity
Organization
Contact information
Practice address
19 NEWBY DR, HAMPTON, VA 23666-4113
(757) 328-7817
Mailing address
19 NEWBY DR, HAMPTON, VA 23666-4113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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