| East End Intensive Outpatient Program | |
|
2010 27th St Newport News VA 23607-4912 | |
| (757) 247-0039 | |
| (757) 247-0158 |
| Full Name | East End Intensive Outpatient Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2010 27th St, Newport News, Virginia |
| Authorized Official Name and Position | Jacqueline Cooper Watkins (MCAID COORDINATOR) |
| Authorized Official Contact | 7572470039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Intensive Outpatient Program 2010 27th St Newport News VA 23607-4912 Ph: (757) 247-0039 | East End Intensive Outpatient Program 2010 27th St Newport News VA 23607-4912 Ph: (757) 247-0039 |
| NPI Number | 1013056167 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013056167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 320 (Virginia) | Primary |
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