Organization
FAMILY SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LYNN GRIMES LCSW (OFFICER)
(757) 647-1358
Entity
Organization
Contact information
Practice address
1412 MT VERNON AVE, PORTSMOUTH, VA 23707-3510
(757) 393-1535
Mailing address
4 QUACKENBUSH PL, PORTSMOUTH, VA 23702-2220
(757) 238-2038
(757) 238-8848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
65014002
VA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
650-14-002
VA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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