OrganizationActive
District 19 Community Services Board
NPI 1669970646 · Early Intervention Provider Agency · Petersburg, VA
Provider details
- NPI number
- 1669970646
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Lisa Newby, Executive Assistant
- License
- 184 (VA)
Practice location
20 W Bank St Ste 5
Petersburg, VA 23803-3279
Phone: (804) 862-6082
Fax: (804) 862-6158
Mailing address
20 W Bank St Ste 7
Petersburg, VA 23803-3279
Registry dates
- Enumerated
- 2018-01-25
- Last updated
- 2018-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.