Organization
MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD
Active
Organization
MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY PHILLIPS M.ED. (EARLY INTERVENTION DIRECTOR)
(804) 758-5250
Entity
Organization
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 695-0326
(804) 693-4822
Mailing address
5372B OLD VIRGINIA STREET, URBANNA, VA 23175
(804) 758-5250
(804) 758-5183
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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