City of Portsmouth
NPI #1093891699 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1093891699
- Entity Type
- Organization
- Organization Name
- City of Portsmouth
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 1811 KING STREET
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23704-3032
- Phone
- (757) 393-5404
Authorized Official
- Name
- MS. MILDRED ELAINE BREATHWAITE, M. ED,CSAC,QMHP,QSAP
- Title
- DIRECTOR/PROGRAM SPONSOR
- Phone
- (757) 393-8618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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