| East Coast Human Services, Llc | |
|
1761 E Little Creek Rd Apt 201 Norfolk VA 23518-4213 | |
| (910) 990-6078 | |
| Not Available |
| Full Name | East Coast Human Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1761 E Little Creek Rd Apt 201, Norfolk, Virginia |
| Authorized Official Name and Position | Heather Rose Dixon (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9109906078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Human Services, Llc 1761 E Little Creek Rd Apt 201 Norfolk VA 23518-4213 Ph: (910) 990-6078 | East Coast Human Services, Llc 1761 E Little Creek Rd Apt 201 Norfolk VA 23518-4213 Ph: (910) 990-6078 |
| NPI Number | 1154864585 |
|---|---|
| Provider Enumeration Date | 12/03/2016 |
| Last Update Date | 12/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864585 | NPI | - | NPPES |
| TO BE ESTABLISHED | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
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