Organization
MOODY'S FAMILY SERVICES
Active
Other names
MOODY'S FAMILY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH PAUL MOODY SR. MA (CHIEF EXECUTIVE OFFICER)
(757) 971-4535
Entity
Organization
Contact information
Practice address
1971 E PEMBROKE AVE, HAMPTON, VA 23663-1338
(757) 971-4535
(757) 838-7663
Mailing address
1585 BRIARFIELD RD APT 38, HAMPTON, VA 23666-4847
(757) 971-4535
(757) 838-7663
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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