Organization
FAMILY REDIRECTION INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L MOORE (EXECUTIVE DIRECTOR)
(757) 398-0200
Entity
Organization
Contact information
Practice address
5062 PORTSMOUTH BOULEVARD, CHESAPEAKE, VA 23321-1426
(757) 398-0200
(757) 398-0057
Mailing address
5062 PORTSMOUTH BOULEVARD, CHESAPEAKE, VA 23321-1426
(757) 398-0200
(757) 398-0057
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
333-05-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946481
—
VA
Enumeration date
10/13/2006
Last updated
06/16/2011
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