Organization
COMMUNITY AGENCY FOR RESILIENT LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DAVIS (CEO)
(757) 639-4974
Entity
Organization
Contact information
Practice address
3210 CHURCHLAND BLVD, SUITE 3, PORTSMOUTH, VA 23703
(757) 639-4974
Mailing address
3210 CHURCHLAND BLVD, SUITE 3, PORTSMOUTH, VA 23703
(757) 639-4974
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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