Provider Demographics
NPI:1285898239
Name:CHESAPEAKE DEPARTMENT OF HUMAN SERVICES
Entity type:Organization
Organization Name:CHESAPEAKE DEPARTMENT OF HUMAN SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:COOKIE
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CPMT
Authorized Official - Phone:757-382-2000
Mailing Address - Street 1:PO BOX 15098
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23328-5098
Mailing Address - Country:US
Mailing Address - Phone:757-382-2000
Mailing Address - Fax:757-382-2010
Practice Address - Street 1:100 OUTLAW ST
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-6345
Practice Address - Country:US
Practice Address - Phone:757-382-2000
Practice Address - Fax:757-382-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare