Organization
PRIMARY ADDICTION TREATMENT CENTER (P.A.T.)
Active
Organization
PRIMARY ADDICTION TREATMENT CENTER (P.A.T.)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMI DE LA VEGA (DIRECTOR OF OPERATIONS)
(757) 296-0444
Entity
Organization
Contact information
Practice address
525 OYSTER POINT RD STE D, NEWPORT NEWS, VA 23602-6014
(757) 296-0444
Mailing address
525 OYSTER POINT RD STE D, NEWPORT NEWS, VA 23602-6014
(757) 296-0444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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