Organization
CIRCLE OF FRIENDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA BALLARD-JONES (PRESIDENT)
(757) 638-4000
Entity
Organization
Contact information
Practice address
1520 BREEZEPORT WAY, SUITE 500, SUFFOLK, VA 23435-3754
(757) 638-4000
(757) 638-4003
Mailing address
1520 BREEZEPORT WAY, SUITE 500, SUFFOLK, VA 23435-3754
(757) 638-4000
(757) 638-4003
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
387-01-001
VA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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