OrganizationActive
Families Organized for Renewal and Community Empowerment
NPI 1629807052 · Adult Mental Health Clinic/Center · Chesapeake, VA
Provider details
- NPI number
- 1629807052
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Esonija Fulgham, Director/Owner(202) 494-6119
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4037 Taylor Rd Ste C
Chesapeake, VA 23321-5500
Phone: (202) 494-6119
Approximate (ZIP-level) locationGet directions
Mailing address
3575 Bridge Rd # 612
Suffolk, VA 23435-1800
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.