Healthcare Provider Details

I. General information

NPI: 1699613232
Provider Name (Legal Business Name): SANKOFA RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 STALLINGS CT
NEWPORT NEWS VA
23608-2318
US

IV. Provider business mailing address

404 STALLINGS CT
NEWPORT NEWS VA
23608-2318
US

V. Phone/Fax

Practice location:
  • Phone: 205-215-2829
  • Fax: 205-215-2829
Mailing address:
  • Phone: 205-215-2829
  • Fax: 205-215-2829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: OREAN COPELIN TURNER
Title or Position: PRESIDENT
Credential: TURNER
Phone: 205-215-2829