Organization
A SOVEREIGN PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA STREETT-LAWRENCE (CEO)
(757) 544-7402
Entity
Organization
Contact information
Practice address
1604 WRIGHT LN, VIRGINIA BEACH, VA 23451-5941
(757) 937-9071
Mailing address
1604 WRIGHT LN, VIRGINIA BEACH, VA 23451-5941
(757) 937-9071
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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