Organization
NADIYA HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY HARTENSE SCOTT (OWNER)
(804) 862-2340
Entity
Organization
Contact information
Practice address
123 S CHAPPELL ST, PETERSBURG, VA 23803-3910
(804) 919-1826
Mailing address
PO BOX 146, COLONIAL HEIGHTS, VA 23834-0146
(804) 862-2340
(804) 862-2340
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1265
VA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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