Provider Demographics
NPI:1891930541
Name:G.E.S.U.S. BALL, INC.
Entity Type:Organization
Organization Name:G.E.S.U.S. BALL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:W
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:STROTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-989-0935
Mailing Address - Street 1:PO BOX 12164
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23612-2164
Mailing Address - Country:US
Mailing Address - Phone:757-989-0935
Mailing Address - Fax:757-989-0935
Practice Address - Street 1:26 LUCAS CREEK RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-7486
Practice Address - Country:US
Practice Address - Phone:757-327-9774
Practice Address - Fax:757-989-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency