Organization
REST HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN STERLING HAWKINS MSW (DIRECT/OWNER)
(757) 572-7206
Entity
Organization
Contact information
Practice address
1005 BLAND ST, NORFOLK, VA 23513-3386
(757) 351-6981
Mailing address
1005 BLAND STREET, NORFOLK, VA 23513
(757) 351-6981
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
12/05/2014
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