Organization
HUMBLING EXPERIENCES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CEYONNA LEWIS (EXECUTIVE DIRECTOR)
(540) 903-8011
Entity
Organization
Contact information
Practice address
303 UNION DR, RUTHER GLEN, VA 22546-5152
(540) 903-8011
Mailing address
303 UNION DR, RUTHER GLEN, VA 22546-5152
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/07/2020
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