EAST END INTENSIVE OUTPATIENT PROGRAM


Address: 2010 27th St, Newport News, VA 23607-4912
Phone: 7572470039

EAST END INTENSIVE OUTPATIENT PROGRAM (NPI# 1013056167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013056167
Entity Type Organization
Organization Name EAST END INTENSIVE OUTPATIENT PROGRAM
Practice Address 2010 27th St
Newport News
VA 23607-4912
Practice Telephone 7572470039
Practice Fax Number 7572470158
Mailing Telephone 7572470039
Mailing Fax Number 7572470158
Enumeration Date 2007-02-05
Last Update Date 2020-08-22
Authorized Official Name MRS. JACQUELINE COOPER WATKINS (MCAID COORDINATOR)
Authorized Official Telephone 7572470039
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 320 VA Agencies

Office Location

Street Address 2010 27TH ST
City NEWPORT NEWS
State VA
Zip Code 23607-4912

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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City NEWPORT NEWS
Zip Code 23607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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