Organization
HAMPTON ROADS COUNSELING CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY WILSON (SECT 1 OFF MAGR)
(757) 877-9140
Entity
Organization
Contact information
Practice address
6515 GEO WASH MEM HWY, STE 100, GRAFTO, VA 23693
(757) 877-9140
(757) 877-3925
Mailing address
PO BOX 1069, GRAFTON, VA 23692
(757) 877-9140
(757) 877-3925
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
12/11/2007
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