Organization
BEBOLD RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FISHMAN (OWNER)
(757) 586-4392
Entity
Organization
Contact information
Practice address
957 W 21ST ST, NORFOLK, VA 23517-1536
(757) 586-4392
Mailing address
957 W 21ST ST, NORFOLK, VA 23517-1536
(757) 586-4392
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/03/2024
Last updated
02/24/2026
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