| Children Of The Kingdom Family Support Srrvices Llc | |
|
610 Thimble Shoals Blvd Ste 201d Newport News VA 23606-4510 | |
| (757) 775-1612 | |
| Not Available |
| Full Name | Children Of The Kingdom Family Support Srrvices Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 Thimble Shoals Blvd Ste 201d, Newport News, Virginia |
| Authorized Official Name and Position | Cora Johnson (CEO) |
| Authorized Official Contact | 7577751612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Of The Kingdom Family Support Srrvices Llc 610 Thimble Shoals Blvd Ste 201d Newport News VA 23606-4510 Ph: (757) 775-1612 | Children Of The Kingdom Family Support Srrvices Llc 610 Thimble Shoals Blvd Ste 201d Newport News VA 23606-4510 Ph: (757) 775-1612 |
| NPI Number | 1124471750 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124471750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2640 (Virginia) | Primary |
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