Organization
KEYSTONE NEWPORT NEWS, LLC
Active
Other names
Newport News Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY KIRKLAND MS, LMHC (CEO)
(757) 888-0400
Entity
Organization
Contact information
Practice address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603-1343
(757) 888-0400
(757) 888-0359
Mailing address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603
(757) 888-0400
(757) 888-0359
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035597400
—
DC
05
—
0505002000
—
VA
05
—
0505002000
—
WV
05
—
416531400
—
MD
01
—
84114001
VA DEPT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
01
—
84114003
VA DEPT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
VA
Enumeration date
07/19/2006
Last updated
07/02/2021
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