Greenbriar Place LLC

NPI #1275328585 in Hampton, Virginia

Provider Information

NPI Number: 1275328585
Entity Type: Organization
Organization Name: Greenbriar Place LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 9, 2025
Last Updated: Jun 26, 2025

Practice Location

Address: 115 DIGGS DR
City: Hampton
State: Virginia
ZIP Code: 23666-1757
Phone: (757) 775-0113

Authorized Official

Name: MS. JENNINE ROCHELLE BOOTH
Title: MANAGER/ ADMINISTRATOR
Phone: (757) 775-0113

Specialties & Taxonomy Codes

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

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