Shine the Light, Inc.
NPI #1063694008 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1063694008
- Entity Type
- Organization
- Organization Name
- Shine the Light, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 1, 2007
- Last Updated
- Dec 1, 2007
Practice Location
- Address
- 1319 SPRATLEY ST
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-1810
- Phone
- (757) 639-7159
Authorized Official
- Name
- DR. CLAUDE L COLEMAN, MD
- Title
- CEO
- Phone
- (757) 673-5255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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