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Organization

NEW DIRECTION SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANY DAVIS-BEASLEY (EXECUTIVE DIRECTOR)
(804) 661-3900
Entity
Organization

Contact information

Practice address
805 PERRYMONT RD, HOPEWELL, VA 23860-5325
(804) 661-3900
Mailing address
805 PERRYMONT RD, HOPEWELL, VA 23860-5325

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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