Organization
EASTERN GROVE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENEN MAPP (DIRECTOR)
(833) 774-9633
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST, PORTSMOUTH, VA 23704-2816
(833) 774-9633
Mailing address
355 CRAWFORD ST, PORTSMOUTH, VA 23704-2816
(757) 392-9337
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
03/18/2026
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