| Shining Light Behavioral Health - Whittaker | |
|
9524 Whittaker Dr Gloucester VA 23061-4527 | |
| (757) 453-5960 | |
| Not Available |
| Full Name | Shining Light Behavioral Health - Whittaker |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 9524 Whittaker Dr, Gloucester, Virginia |
| Authorized Official Name and Position | Wesley E Mason (CEO) |
| Authorized Official Contact | 7574341828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Light Behavioral Health - Whittaker 500 E Main St Ste 1600-65 Norfolk VA 23510-2205 Ph: (757) 434-1828 | Shining Light Behavioral Health - Whittaker 9524 Whittaker Dr Gloucester VA 23061-4527 Ph: (757) 453-5960 |
| NPI Number | 1750141230 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750141230 | NPI | - | NPPES |
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