Organization
RPATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA LENA SMITH (EXECUTIVE DIRECTOR)
(757) 918-4676
Entity
Organization
Contact information
Practice address
1808 GREY FRIARS CHASE, VIRGINIA BEACH, VA 23456-5438
(757) 918-4676
Mailing address
1808 GREY FRIARS CHASE, VIRGINIA BEACH, VA 23456-5438
(757) 918-4676
(757) 266-5949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2869-05-001
DBHDS LICENSE NUMBER
VA
Enumeration date
03/25/2020
Last updated
03/07/2025
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