Organization
THE BARRY ROBINSON CENTER
Active
Other names
Homebase Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL BRADLEY FINK LCSW (HOMEBASE PROGRAM DIRECTOR)
(757) 455-6187
Entity
Organization
Contact information
Practice address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4727
(757) 455-6207
(757) 466-0767
Mailing address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4727
(757) 455-6207
(757) 466-0767
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
185
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-74
HOME CARE LICENSE NUMBER
VA
01
—
185-05-001
TRIENNIAL
VA
Enumeration date
01/16/2007
Last updated
08/22/2020
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