Organization
RUTH'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BROOKS (OWNER/CEO)
(757) 717-7597
Entity
Organization
Contact information
Practice address
2721 HIGH ST, PORTSMOUTH, VA 23707-3521
(757) 717-7597
Mailing address
2721 HIGH ST, PORTSMOUTH, VA 23707-3521
(757) 717-7597
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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