Organization
WHITESTONE PRAYER MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDIA PATRICIA WILLIAMS CERTIFIED (SUBSTANCE ABUSE COUNSELOR)
(757) 627-1967
Entity
Organization
Contact information
Practice address
645 CHURCH ST STE 205, NORFOLK, VA 23510-1712
(757) 239-0550
Mailing address
5000 PRESTWICK ST, SUFFOLK, VA 23435-3324
(757) 627-1967
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619323862
—
VA
Enumeration date
05/06/2016
Last updated
07/01/2016
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