Organization
INDIVIDUALS & OPPORTUNITIES DAY SUPPORT
Active
Organization
INDIVIDUALS & OPPORTUNITIES DAY SUPPORT
Active
Parent organization
CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
Other names
The Up Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
Authorized official
MS. NATASHA FEDYSZYN-CARR MAQMRP, QMHP (DIRECTOR OF SPECIAL PROGRAMS)
(757) 965-8669
Entity
Organization
Contact information
Practice address
800 TIDEWATER DR, NORFOLK, VA 23504-3326
(757) 965-8693
(757) 502-4960
Mailing address
800 TIDEWATER DR, NORFOLK, VA 23504-3326
(757) 965-8693
(757) 502-4960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
346-05-011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629158159
—
VA
Enumeration date
12/16/2009
Last updated
07/20/2010
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