East End Intensive Outpatient Program
NPI #1013056167 in Newport News, Virginia
Provider Information
- NPI Number
- 1013056167
- Entity Type
- Organization
- Organization Name
- East End Intensive Outpatient Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2010 27TH ST
- City
- Newport News
- State
- Virginia
- ZIP Code
- 23607-4912
- Phone
- (757) 247-0039
Authorized Official
- Name
- MRS. JACQUELINE COOPER WATKINS
- Title
- MCAID COORDINATOR
- Phone
- (757) 247-0039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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