Organization
CORE YOUTH AND FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELISHA GOODRICH (OWNER)
(757) 582-3722
Entity
Organization
Contact information
Practice address
601 REUNION ST, CHESAPEAKE, VA 23324-1471
(757) 582-3722
Mailing address
601 REUNION ST, CHESAPEAKE, VA 23324-1471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/05/2024
Last updated
10/04/2024
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