| Core Youth And Family Services, Llc | |
|
601 Reunion St Chesapeake VA 23324-1471 | |
| (757) 582-3722 | |
| Not Available |
| Full Name | Core Youth And Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Reunion St, Chesapeake, Virginia |
| Authorized Official Name and Position | Elisha Goodrich (OWNER) |
| Authorized Official Contact | 7575823722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Youth And Family Services, Llc 601 Reunion St Chesapeake VA 23324-1471 Ph: () - | Core Youth And Family Services, Llc 601 Reunion St Chesapeake VA 23324-1471 Ph: (757) 582-3722 |
| NPI Number | 1659101749 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659101749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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