Commonwealth Community Services LLC
NPI #1003382789 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1003382789
- Entity Type
- Organization
- Organization Name
- Commonwealth Community Services LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 19, 2018
- Last Updated
- Dec 26, 2019
Practice Location
- Address
- 1512 LOREN CRES
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23701-3717
- Phone
- (757) 510-7044
Authorized Official
- Name
- EVELYN NOWELL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (757) 510-7044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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