Organization
DOMINION SERVICES FOR ALL PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL LUCRETIA GAY (EXECUTIVE DIRECTOR)
(757) 766-2922
Entity
Organization
Contact information
Practice address
9 MAUME CIR, HAMPTON, VA 23666-1716
(757) 766-2922
(757) 766-2977
Mailing address
PO BOX 4179, SUFFOLK, VA 23439-4179
(757) 766-2922
(757) 766-2977
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
106176
VA
Other
Enumeration date
05/29/2007
Last updated
07/11/2008
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