Child of God Group Homesllc

NPI #1104911122 in Hampton, Virginia

Provider Information

NPI Number: 1104911122
Entity Type: Organization
Organization Name: Child of God Group Homesllc
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 633 RIDGEWAY AVE
City: Hampton
State: Virginia
ZIP Code: 23661-1413
Phone: (757) 727-7807

Authorized Official

Name: MR. KENDRIC MCKNIGHT
Title: ADMINISTRATOR
Phone: (757) 810-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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