MEDICARE: AIM FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	2050	VA

General Provider Information

NPI Number	:	1851723969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM FAMILY SERVICES

Provider Business Mailing Address
First Line	:	221 MARKET ST
Second Line	:	SUITE 554
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3296
Country	:	US
Telephone Number	:	757-291-5134
Fax Number	:	757-490-8760

Provider Business Practice Location Address
First Line	:	221 MARKET ST
Second Line	:	SUITE 554
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3296
Country	:	US
Telephone Number	:	757-291-5134
Fax Number	:	757-490-8760

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEBORAH HAMILTON
Credential	:
Telephone Number	:	757-291-5134

Provider Enumeration Date	:	07/31/2013
Last Update Date	:	07/31/2013

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