Organization
FAMILY TIES ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA GRAVES (CEO)
(470) 461-6695
Entity
Organization
Contact information
Practice address
2703 ARCADIA AVE, PORTSMOUTH, VA 23704-6001
(470) 461-6695
Mailing address
2703 ARCADIA AVE, PORTSMOUTH, VA 23704-6001
(470) 461-6695
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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