| Commonwealth Community Development Services Inc. | |
|
719 High St Portsmouth VA 23704-3425 | |
| (757) 822-3835 | |
| Not Available |
| Full Name | Commonwealth Community Development Services Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 719 High St, Portsmouth, Virginia |
| Authorized Official Name and Position | Kristal Brooks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7578223835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Community Development Services Inc. 719 High St Portsmouth VA 23704-3425 Ph: (757) 822-3835 | Commonwealth Community Development Services Inc. 719 High St Portsmouth VA 23704-3425 Ph: (757) 822-3835 |
| NPI Number | 1073231106 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073231106 | NPI | - | NPPES |
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