Organization
G.E.S.U.S. BALL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W LAMONT STROTHERS (PRESIDENT/CEO)
(757) 989-0935
Entity
Organization
Contact information
Practice address
26 LUCAS CREEK RD, NEWPORT NEWS, VA 23602-7486
(757) 327-9774
(757) 989-0935
Mailing address
PO BOX 12164, NEWPORT NEWS, VA 23612-2164
(757) 989-0935
(757) 989-0935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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