Provider Demographics
NPI:1174759047
Name:COMMUNITY EDUCATION CENTERS
Entity type:Organization
Organization Name:COMMUNITY EDUCATION CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:757-739-1703
Mailing Address - Street 1:840 SOMMERVILLE CRES
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 SANDERSON RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-2075
Practice Address - Country:US
Practice Address - Phone:757-421-0095
Practice Address - Fax:757-421-7124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003547324500000X
NC3810324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility