Organization
HIGHER HEIGHTS RESIDENTIAL SVC CTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLEE M MACK-MATTHEWS (CHIEF FINANCIAL OFFICER)
(757) 737-8406
Entity
Organization
Contact information
Practice address
1604 ELM AVE, PORTSMOUTH, VA 23704-4508
(757) 737-8406
Mailing address
PO BOX 962, PORTSMOUTH, VA 23705-0962
(757) 737-8406
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1036
VA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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