Provider Demographics
NPI:1942413240
Name:CHESAPEAKE HEALTH INVESTMENT PROGRAM, INC
Entity Type:Organization
Organization Name:CHESAPEAKE HEALTH INVESTMENT PROGRAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-543-9100
Mailing Address - Street 1:1302 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2214
Mailing Address - Country:US
Mailing Address - Phone:757-543-9100
Mailing Address - Fax:757-543-9166
Practice Address - Street 1:1302 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2214
Practice Address - Country:US
Practice Address - Phone:757-543-9100
Practice Address - Fax:757-543-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management