Individual provider · Type 1 NPI
Tamara Doud
Emotionally Disturbed Childrens' Residential Treatment Facility · Newport News, VA
Practice location
165 Motoka Dr Apt 1
Newport News, VA 23602-4053
Mailing address
1000 Litton Ln # F
Suffolk, VA 23434-8081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 23-036-099 (VA) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1194105346
Tamara Doud's National Provider Identifier is 1194105346, issued on Jun 3, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Newport News, VA. The record was last updated on Jun 3, 2015.