Organization
SDCP RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MCCLAIN (CEO)
(757) 504-5270
Entity
Organization
Contact information
Practice address
3069 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3300
(757) 504-5270
(804) 684-5973
Mailing address
3069 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3300
(757) 504-5270
(804) 684-5973
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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