Organization
CRAWFORD FIRST EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI CONNER (BUSINESS DEVELOPMENT COORDINATOR)
(757) 393-7244
Entity
Organization
Contact information
Practice address
825 CRAWFORD PKWY, PORTSMOUTH, VA 23704-2301
(757) 391-6675
(757) 691-6651
Mailing address
825 CRAWFORD PKWY, PORTSMOUTH, VA 23704-2301
(757) 391-6675
(757) 691-6651
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
842-02-029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010285453
—
VA
Enumeration date
08/10/2006
Last updated
03/09/2011
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