Healthcare Provider Details

I. General information

NPI: 1518282177
Provider Name (Legal Business Name): POST TREATMENT HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4873 SOUTH OLIVER DRIVE SUITE 100
VIRGINIA BEACH VA
23455-2700
US

IV. Provider business mailing address

P.O. BOX 5127
CHESAPEAKE VA
23324-0127
US

V. Phone/Fax

Practice location:
  • Phone: 757-354-9282
  • Fax: 757-390-4524
Mailing address:
  • Phone: 757-354-9282
  • Fax: 757-390-4524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberCO-326-09
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCO-326-09
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License NumberCO-326-09
License Number StateVA

VIII. Authorized Official

Name: MRS. KRISTI LYNN SAUL
Title or Position: PROGRAM DIRECTOR
Credential: MED
Phone: 757-354-9282