Organization
GREENBRIAR PLACE LLC
Active
Other names
The Difference 757
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNINE ROCHELLE BOOTH (MANAGER/ ADMINISTRATOR)
(757) 775-0113
Entity
Organization
Contact information
Practice address
115 DIGGS DR, HAMPTON, VA 23666-1757
(757) 775-0113
Mailing address
115 DIGGS DR, HAMPTON, VA 23666-1757
(757) 775-0113
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
02/09/2026
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