Organization
TRI-CITIES ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCESS BARNES (OWNER)
(757) 822-0785
Entity
Organization
Contact information
Practice address
145 LEE ST UNIT A, SUFFOLK, VA 23434-5346
(757) 822-0785
Mailing address
6220 SKEET RD, SUFFOLK, VA 23435-2604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
VA
385H00000X
Respite Care
—
VA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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