Provider Demographics
NPI:1982253886
Name:RESOURCEFUL REFUGE INC.
Entity type:Organization
Organization Name:RESOURCEFUL REFUGE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRON
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-773-9628
Mailing Address - Street 1:PO BOX 6955
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-0955
Mailing Address - Country:US
Mailing Address - Phone:757-773-9628
Mailing Address - Fax:757-937-2542
Practice Address - Street 1:3107 TOURNAMENT DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2515
Practice Address - Country:US
Practice Address - Phone:757-773-9628
Practice Address - Fax:757-937-2542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health