Organization · Type 2 NPI
Shining Light Behavioral Health - Whittaker
Substance Abuse Rehabilitation Facility · Gloucester, VA
Practice location
9524 Whittaker Dr
Gloucester, VA 23061-4527
Mailing address
500 E Main St Ste 1600-65
Norfolk, VA 23510-2205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Nursing Care Agency | 251J00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency | 251V00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1750141230
Shining Light Behavioral Health - Whittaker's National Provider Identifier is 1750141230, issued on Mar 20, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Gloucester, VA. The record was last updated on Mar 20, 2024.