MEDICARE: CENTER FOR CHILD & FAMILY SERVICES INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	545547828	OTHER	VA	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972685774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR CHILD & FAMILY SERVICES INC

Provider Business Mailing Address
First Line	:	739 THIMBLE SHOALS BLVD
Second Line	:	# 400
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-3562
Country	:	US
Telephone Number	:	757-838-1960
Fax Number	:	757-838-3280

Provider Business Practice Location Address
First Line	:	739 THIMBLE SHOALS BLVD
Second Line	:	# 400
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-3562
Country	:	US
Telephone Number	:	757-838-1960
Fax Number	:	757-838-3280

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHAEL EDMONDS
Credential	:
Telephone Number	:	757-838-1960

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/26/2025

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