| Childrens Hospital Of The Kings Daughters Inc | |
|
935 Redgate Ave Norfolk VA 23507-1517 | |
| (757) 668-6111 | |
| Not Available |
| Full Name | Childrens Hospital Of The Kings Daughters Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 935 Redgate Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Dennis Michael Ryan (SENIOR VP CFO) |
| Authorized Official Contact | 7576688565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Hospital Of The Kings Daughters Inc 601 Childrens Ln Norfolk VA 23507-1910 Ph: (757) 668-7017 | Childrens Hospital Of The Kings Daughters Inc 935 Redgate Ave Norfolk VA 23507-1517 Ph: (757) 668-6111 |
| NPI Number | 1447305032 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 10/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447305032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | H1843 (Virginia) | Primary |
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