Provider Demographics
NPI:1407682628
Name:ONGO ADDICTION AND RECOVERY SERVICES
Entity type:Organization
Organization Name:ONGO ADDICTION AND RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAKEA
Authorized Official - Middle Name:ASHANTI
Authorized Official - Last Name:CALLENDER
Authorized Official - Suffix:
Authorized Official - Credentials:RN,QMHP
Authorized Official - Phone:804-630-1666
Mailing Address - Street 1:4062 GROVE POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-1119
Mailing Address - Country:US
Mailing Address - Phone:804-630-1666
Mailing Address - Fax:
Practice Address - Street 1:3018 STOCKLEIGH LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7148
Practice Address - Country:US
Practice Address - Phone:804-630-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251J00000XAgenciesNursing Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility