Organization
CANNON RESILIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TEIONNA CANNON M.ED., CSAC, HS-BCP (CEO)
(757) 529-0050
Entity
Organization
Contact information
Practice address
3552 COLLINS BLVD STE D, CHESAPEAKE, VA 23321-5264
(757) 529-0050
Mailing address
3552 COLLINS BLVD STE D, CHESAPEAKE, VA 23321-5264
(757) 529-0050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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