Organization
JAMES BENTLEY TREATMENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA PINNOCK (OWNER)
(757) 399-3025
Entity
Organization
Contact information
Practice address
1020 LECKIE STREET, PORTSMOUTH, VA 23704
(757) 399-3025
(757) 673-7965
Mailing address
P.O. BOX 243, PORTSMOUTH, VA 23705
(757) 399-3035
(757) 673-7965
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
78214001
VA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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