Provider Demographics
NPI:1689969305
Name:VIRGINIA CENTER FOR HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:VIRGINIA CENTER FOR HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-834-1894
Mailing Address - Street 1:4410 E CLAIBORNE SQUARE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2073
Mailing Address - Country:US
Mailing Address - Phone:757-838-1894
Mailing Address - Fax:757-838-1895
Practice Address - Street 1:4410 E CLAIBORNE SQUARE
Practice Address - Street 2:SUITE 220
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2073
Practice Address - Country:US
Practice Address - Phone:757-838-1894
Practice Address - Fax:757-838-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health