Organization
MILLS, OTIS & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAWAN ALISA SILVER-MANER (OWNER/ FACILIATOR)
(757) 343-4479
Entity
Organization
Contact information
Practice address
1680 BRIARFIELD RD, HAMPTON, VA 23669-3666
(757) 343-4479
Mailing address
1680 BRIARFIELD RD, HAMPTON, VA 23669-3666
(757) 343-4479
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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