Organization
POTENTIALS IN LIFE LLC
Active
Other names
P.I.L.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL CUFFEE (CEO/PROGRAM DIRECTOR)
(757) 735-0154
Entity
Organization
Contact information
Practice address
522 S INDEPENDENCE BLVD STE 102C, VIRGINIA BEACH, VA 23452-1149
(757) 735-0153
Mailing address
522 S INDEPENDENCE BLVD STE 102C, VIRGINIA BEACH, VA 23452-1149
(757) 735-0153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1681-03-001
VA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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