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Organization

PURE FAITH HOUSE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY HARPER (CEO/PROGRAM MANAGER)
(757) 232-2146
Entity
Organization

Contact information

Practice address
455 ALGONQUIN RD, HAMPTON, VA 23661-1515
(757) 232-2146
Mailing address
455 ALGONQUIN RD, HAMPTON, VA 23661-1515
(757) 232-2146

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/11/2023
Last updated
10/26/2023
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