Organization
JK2C, LLC
Active
Other names
THE CHESAPEAKE TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERI NICOLE CHINNICI (PRESIDENT / CEO)
(757) 774-0033
Entity
Organization
Contact information
Practice address
109 WIMBLEDON SQ, UNIT H, CHESAPEAKE, VA 23320-4945
(757) 774-0033
(757) 394-3094
Mailing address
6105 KENT CT, SUFFOLK, VA 23435-3107
(757) 774-0033
(757) 394-3094
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
VA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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