Organization
KIDS 4 SUCCESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TELOVE LADAWN BROWN RN (OWNER)
(757) 818-4352
Entity
Organization
Contact information
Practice address
641 BIRCH AVE, HAMPTON, VA 23661-1719
(754) 246-8506
Mailing address
641 BIRCH AVE, HAMPTON, VA 23661-1719
(754) 246-8506
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1052-14-001
VA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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