Enlighten Family Services, Llc | |
3042 Bay Shore Ln Suffolk VA 23435-3187 | |
(757) 672-7770 | |
(207) 419-0164 |
Full Name | Enlighten Family Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3042 Bay Shore Ln, Suffolk, Virginia |
Authorized Official Name and Position | Aretha A Porter (PRESIDENT) |
Authorized Official Contact | 7576727770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enlighten Family Services, Llc 3042 Bay Shore Ln Suffolk VA 23435-3187 Ph: (757) 672-7770 | Enlighten Family Services, Llc 3042 Bay Shore Ln Suffolk VA 23435-3187 Ph: (757) 672-7770 |
NPI Number | 1376391110 |
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Provider Enumeration Date | 05/07/2024 |
Last Update Date | 05/07/2024 |
Certification Date | 05/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376391110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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