DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTENSIVE COMMUNITY OUTREACH SERVICES

Active Organization

Point of Service · WILIAMSBURG, VA

Registration Details

NPI Number
1548495708
Provider Type
Organization
NPI Issued
May 18, 2009 (16.927988032645 yrs)
Last Updated
May 18, 2009
License
07313155018008081414 (VA)

Practice Information

Address
1524 MERRIMAC TRAIL
SUITE J
WILIAMSBURG, VA, 23815
Browse VA providers · Browse ZIP 23815
Phone
8045214327
Primary Specialty
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.