| NPI | 1083393086 |
|---|---|
| Other Name | HERITAGE BEHAVIORAL HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | LASHAWNDA DELETRICE TERRY Owner 757-532-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-12-05 |