| James Bentley Treatment Program | |
|
1020 Leckie St Portsmouth VA 23704-1904 | |
| (757) 399-3025 | |
| Not Available |
| Full Name | James Bentley Treatment Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1020 Leckie St, Portsmouth, Virginia |
| Authorized Official Name and Position | Sandra Pinnock (CEO) |
| Authorized Official Contact | 7573993025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Bentley Treatment Program 1020 Leckie St Portsmouth VA 23704-1904 Ph: () - | James Bentley Treatment Program 1020 Leckie St Portsmouth VA 23704-1904 Ph: (757) 399-3025 |
| NPI Number | 1902338692 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 03/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902338692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 782-03-002 (Virginia) | Primary |
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