Organization
COMMUNITY OF DESTINY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE PEART (EXECUTIVE DIRECTOR)
(757) 218-7481
Entity
Organization
Contact information
Practice address
5040 VA BEACH BLVD, VIRGINIA BEACH, VA 23462-6637
(757) 218-7481
Mailing address
5260 SUMMER CRES, VIRGINIA BEACH, VA 23462-1967
(757) 218-7481
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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