Organization
CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
Active
Organization
CHILD & FAMILY SERVICES OF EASTERN VIRGINIA, INC
Active
Other names
The Up Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LUVERNE JONES (BILLING SUPERVISOR)
(757) 622-7017
Entity
Organization
Contact information
Practice address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 622-7017
(757) 640-8402
Mailing address
222 W 19TH ST, NORFOLK, VA 23517-2218
(757) 622-7017
(757) 640-8402
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033273560
J. KELLIE EVANS - PROVIDER
VA
01
—
1194891598
ANDREA LONG - PROVIDER
VA
01
—
1215917315
JAMES ZELL - PROVIDER
VA
01
—
1285737205
GLORIA M SAUNDERS - PROVIDER
VA
01
—
1295888501
KRISTIN HARDEE-POULIN - PROVIDER
VA
01
—
1417028291
CONSTANTINA KOUZI
VA
01
—
1487764825
DEBORAH LEECY - PROVIDER
VA
01
—
1487840641
SHAWN WARE-AVANT - PROVIDER
VA
01
—
1538364179
MARY A BRANTLEY - PROVIDER
VA
01
—
1689689234
FREDRICK D WESTON - PROVIDER
VA
Enumeration date
10/17/2006
Last updated
01/19/2012
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