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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