Healthcare Provider Details

I. General information

NPI: 1134820772
Provider Name (Legal Business Name): THE HILL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S MILITARY HWY STE 201
CHESAPEAKE VA
23320-2251
US

IV. Provider business mailing address

1200 S MILITARY HWY STE 201
CHESAPEAKE VA
23320-2251
US

V. Phone/Fax

Practice location:
  • Phone: 757-215-6142
  • Fax:
Mailing address:
  • Phone: 757-215-6142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCES WILSON
Title or Position: OWNER
Credential:
Phone: 757-215-6142