Shining Light Behavioral Health - Whittaker
NPI #1750141230 in Gloucester, Virginia
Provider Information
- NPI Number
- 1750141230
- Entity Type
- Organization
- Organization Name
- Shining Light Behavioral Health - Whittaker
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHINING LIGHT BEHAVIORAL
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 20, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 9524 WHITTAKER DR
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-4527
- Phone
- (757) 453-5960
Authorized Official
- Name
- MR. WESLEY E MASON III
- Title
- CEO
- Phone
- (757) 434-1828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Nursing Care |
| Public Health or Welfare |
| Community/Behavioral Health |
| Voluntary or Charitable |
| Early Intervention Provider Agency |
| Clinic/Center |
| Clinic/Center - Adult Day Care — Adult Day Care |
| Clinic/Center - Community Health — Community Health |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Case Management |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
| Substance Abuse Rehabilitation Facility |
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