Organization
BUILDING YOUNG MEN & WOMEN FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON DAVIS (CEO)
(757) 560-2238
Entity
Organization
Contact information
Practice address
999 WATERSIDE DR STE 2525, NORFOLK, VA 23510-3316
(757) 560-2238
Mailing address
999 WATERSIDE DR STE 2525, NORFOLK, VA 23510-3316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932699949
PROVIDER
VA
Enumeration date
08/14/2023
Last updated
08/14/2023
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