Organization
NEW SEASON CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORES THOMAS LCSW (EXECUTIVE DIRECTOR)
(757) 595-2727
Entity
Organization
Contact information
Practice address
1613 HARDY CASH DR, HAMPTON, VA 23666-2414
(757) 595-2727
(757) 595-2776
Mailing address
1613 HARDY CASH DR, HAMPTON, VA 23666-2414
(757) 595-2727
(757) 595-2776
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
113903001
VA
251S00000X
Community/Behavioral Health Agency
Primary
113905001
VA
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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