IndividualActive
Jason Vann
NPI 1346020724 · Substance Abuse Rehabilitation Facility · Suffolk, VA
Provider details
- NPI number
- 1346020724
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
8122 Lee Hall Ave
Suffolk, VA 23435-3444
Phone: (757) 452-8009
Approximate (ZIP-level) locationGet directions
Mailing address
8122 Lee Hall Ave
Suffolk, VA 23435-3444
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.