Organization
HOME OF THE BRAVE, VETERANS TRANSITIONAL HOUSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE M. WALDRON (DIRECTOR)
(757) 559-4522
Entity
Organization
Contact information
Practice address
106 FOX LN, MOYOCK, NC 27958-9481
(757) 559-4522
Mailing address
106 FOX LN, MOYOCK, NC 27958-9481
(757) 559-4522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/26/2022
Last updated
01/28/2022
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