Organization
EAST END ACADEMY INC SOUTHSIDE
Active
Parent organization
EAST END ACADEMY INC
Other names
East End Academy Inc Southside
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST END ACADEMY INC
Authorized official
MS. RUBY ELEY (CEO)
(757) 275-7498
Entity
Organization
Contact information
Practice address
2607 COLONIAL AVENUE, NORFOLK, VA 23517
(757) 275-7498
(757) 275-7561
Mailing address
2607 COLONIAL AVE, NORFOLK, VA 23517-1227
(757) 275-7498
(757) 375-7561
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
320
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23517
—
VA
Enumeration date
05/15/2009
Last updated
07/21/2022
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