Organization
WESTERN TIDEWATER COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIOS PERATSAKIS (EXECUTIVE DIRECTOR)
(757) 966-2805
Entity
Organization
Contact information
Practice address
404 FINNEY AVE, SUFFOLK, VA 23434-3852
(757) 255-7127
Mailing address
7025 HARBOUR VIEW BLVD STE 119, SUFFOLK, VA 23435-2762
(757) 966-2805
(757) 673-2586
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
02/28/2023
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