Organization
WELL WATERED PLACE LLC
Active
Other names
Well Watered Place Substance Abuse and Outpatient Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JIMEKA L. FITZGERALD (OWNER/ CEO)
(757) 800-7301
Entity
Organization
Contact information
Practice address
739 HIGH ST # 112, PORTSMOUTH, VA 23704-3425
(757) 800-7301
Mailing address
739 HIGH ST # 112, PORTSMOUTH, VA 23704-3425
(757) 800-7301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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