Organization
CIRCLE OF LIFE, LLC
Active
Other names
C.o.L Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALESHA SMITH MAPC, QMHP (DIRECTOR)
(757) 553-6158
Entity
Organization
Contact information
Practice address
138 S ROSEMONT RD STE 200, VIRGINIA BEACH, VA 23452-4336
(757) 403-9458
Mailing address
3630 S PLAZA TRL STE 210D, VIRGINIA BEACH, VA 23452-3366
(757) 553-6158
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2024
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