Organization
C.H.A.N.G.E. THREAPUETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY DENISE CALDWELL LCSW (CLINICAL DIRECTOR)
(757) 620-2240
Entity
Organization
Contact information
Practice address
601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
(757) 201-4601
Mailing address
601 DINWIDDIE ST, PORTSMOUTH, VA 23704-3613
(757) 201-4601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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