Organization
OUNCE OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA RENEE TAYLOR-BUSH M.A., CSAC, CRP (CEO)
(757) 735-9252
Entity
Organization
Contact information
Practice address
140 W WASHINGTON ST, SUFFOLK, VA 23434-5254
(757) 735-9252
Mailing address
210 N BROAD ST, SUFFOLK, VA 23434-5606
(757) 735-9252
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
0715005473
VA
251S00000X
Community/Behavioral Health Agency
Primary
0710102607
VA
251S00000X
Community/Behavioral Health Agency
0715005473
VA
251S00000X
Community/Behavioral Health Agency
110909B
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710102607
—
VA
05
—
1750611042
—
VA
Enumeration date
04/10/2011
Last updated
04/10/2011
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