| Children's Services Of Hampton Roads | |
|
3500 Tejo Ln Suite 105 Chesapeake VA 23321-5258 | |
| (757) 638-5500 | |
| (757) 638-7740 |
| Full Name | Children's Services Of Hampton Roads |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3500 Tejo Ln, Chesapeake, Virginia |
| Authorized Official Name and Position | John Eliot Faircloth (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7576385500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Services Of Hampton Roads 3500 Tejo Ln Suite 105 Chesapeake VA 23321-5258 Ph: (757) 638-5500 | Children's Services Of Hampton Roads 3500 Tejo Ln Suite 105 Chesapeake VA 23321-5258 Ph: (757) 638-5500 |
| NPI Number | 1245311703 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245311703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 010-02-029 (Virginia) | Primary |
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