WESTERN TIDEWATER COMMUNITY SERVICES BOARD

NPI # 

Practice Address:

5268 Godwin Blvd

Suffolk, VA, 23434-8135

Practice Phone:

757-255-7100

License Number:

0904002622

License State:

VA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adolescent and Children Mental Health

Taxonomy Code:

261QM0855X