Western Tidewater Community Services Board

NPI #1689928996 in Suffolk, Virginia

Provider Information

NPI Number
1689928996
Entity Type
Organization
Organization Name
Western Tidewater Community Services Board
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Nov 8, 2012
Last Updated
Jan 29, 2024

Practice Location

Address
4373 PRUDEN BOULEVARD
ZIP Code
23434
Phone
(757) 255-7127

Authorized Official

Name
DEMETRIOS PERATSAKIS, PD, MS, LPC
Title
EXECUTIVE DIRECTOR
Phone
(757) 255-7133

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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