Organization · Type 2 NPI
Fourth Bay Ventures, LLC
Mental Illness Community Based Residential Treatment Facility · Suffolk, VA
NPI number
1346423894
Active
Practice location
166 S Saratoga St
Suffolk, VA 23434-5357
Mailing address
106 Newtown Ct
Suffolk, VA 23434-9299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1346423894
Fourth Bay Ventures, LLC's National Provider Identifier is 1346423894, issued on Dec 6, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Suffolk, VA. The record was last updated on Dec 6, 2007.