Covenant 21St Century Ministries, Inc in Virginia Beach - Community Based Residential Treatment Facility, Mental Illness
Covenant 21St Century Ministries, Inc - NPI 1508036054
Covenant 21St Century Ministries, Inc is a Community Based Residential Treatment Facility, Mental Illness in Virginia Beach, Virginia. Covenant 21St Century Ministries, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Covenant 21St Century Ministries, Inc is 1508036054. The last update date is 2009-04-14.
Covenant 21St Century Ministries, Inc's current location address is 5301 Providence Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574932912 and fax number 7574932913. The mailing address for Covenant 21St Century Ministries, Inc is 5301 Providence Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant 21St Century Ministries, Inc |
|---|---|
| Address | 5301 Providence Rd, Virginia Beach, Virginia |
| Phone Number | 7574932912 |
| Fax Number | 7574932913 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Rawles Deneen Portia |
| Credentials | PSY D |
| Telephone Number | 7574932912 |
NPI Number Detail
| NPI Number | 1508036054 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2009-04-14 |
Provider Mailing Address Detail
| Address | 5301 Providence Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234644128 |
| Phone Number | 7574932912 |
| Fax Number | 7574932913 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 80714001 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique 10-digit identification code issued to Covenant 21St Century Ministries, Inc by the Centers for Medicare & Medicaid Services?
The Covenant 21St Century Ministries, Inc has been assigned the NPI (National Provider Identifier) 1508036054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Covenant 21St Century Ministries, Inc?
The Covenant 21St Century Ministries, Inc is situated at 5301 Providence Rd, in the city of Virginia Beach, state of VA, with the zip code 234644128.
What is the area of specialization for Covenant 21St Century Ministries, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Covenant 21St Century Ministries, Inc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.
On what date did the Covenant 21St Century Ministries, Inc receive its 1508036054 assignment from the Centers for Medicare & Medicaid Services?
The Covenant 21St Century Ministries, Inc was assigned its 1508036054 by the Centers for Medicare & Medicaid Services on 2008-03-11.
When was the information pertaining to Covenant 21St Century Ministries, Inc most recently updated or revised?
The details related to Covenant 21St Century Ministries, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-14.
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