Healthcare Provider Details

I. General information

NPI: 1295325405
Provider Name (Legal Business Name): DELSOL ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W MERCURY BLVD STE 1
HAMPTON VA
23669-2569
US

IV. Provider business mailing address

321 BEAUREGARD HTS
HAMPTON VA
23669-1438
US

V. Phone/Fax

Practice location:
  • Phone: 757-902-1034
  • Fax:
Mailing address:
  • Phone: 516-439-1745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: APRIL DELANDRO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD
Phone: 757-902-1034