Provider Demographics
NPI:1073949285
Name:GARRIS GROUP FAMILY SERVICES
Entity Type:Organization
Organization Name:GARRIS GROUP FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIQUE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:757-825-2637
Mailing Address - Street 1:804 W MERCURY BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4321
Mailing Address - Country:US
Mailing Address - Phone:757-825-2637
Mailing Address - Fax:757-825-2639
Practice Address - Street 1:804 W MERCURY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4321
Practice Address - Country:US
Practice Address - Phone:757-825-2637
Practice Address - Fax:757-825-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2023251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health