OrganizationActive
Adolescent Growth Virginia, Inc
NPI 1487405080 · Psychiatric Residential Treatment Facility · Norfolk, VA
Provider details
- NPI number
- 1487405080
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- John Lewis, Cfo
Practice location
1702 Cloncurry Rd
Norfolk, VA 23505-1718
Phone: (888) 948-9998
Fax: (888) 751-6166
Mailing address
60 N Lotus Ave
Pasadena, CA 91107-3811
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.