Organization
THE FAITH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL JACKSON III (CEO)
(757) 923-0959
Entity
Organization
Contact information
Practice address
1112 TAYLOR, VA BEACH, VA 23464
(757) 923-0959
Mailing address
309 FESTIVAL CT, SUFFOLK, VA 23434-9255
(757) 923-0959
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1349
VA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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