Organization · Type 2 NPI

Western Tidewater Community Services Board

Adolescent and Children Mental Health Clinic/Center · Suffolk, VA

NPI number 1164416533 Active

Practice location

5268 Godwin Blvd
Suffolk, VA 23434-8135

Call (757) 255-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855X0904002622 (VA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

14 other providers at this address

About NPI 1164416533

Western Tidewater Community Services Board's National Provider Identifier is 1164416533, issued on Aug 31, 2005. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Suffolk, VA. The record was last updated on Aug 22, 2020.