Provider Demographics
NPI:1700116464
Name:NEIGHBOR TO FAMILY, INC
Entity Type:Organization
Organization Name:NEIGHBOR TO FAMILY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:N.
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-213-1580
Mailing Address - Street 1:1300 DIAMOND SPRINGS RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3645
Mailing Address - Country:US
Mailing Address - Phone:757-213-1580
Mailing Address - Fax:757-213-1599
Practice Address - Street 1:1300 DIAMOND SPRINGS RD
Practice Address - Street 2:SUITE 502
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3645
Practice Address - Country:US
Practice Address - Phone:757-213-1580
Practice Address - Fax:757-213-1599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA8971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty