Provider Demographics
NPI:1619514957
Name:VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA CHESAPEAKE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TANEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-955-9476
Mailing Address - Street 1:1554 COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4667
Mailing Address - Country:US
Mailing Address - Phone:703-228-0033
Mailing Address - Fax:
Practice Address - Street 1:1554 COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4667
Practice Address - Country:US
Practice Address - Phone:703-228-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA175-01-006OtherINPATIENT SUBSTANCE ABUSE -ADULT