SearchVirginiaIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Shamba Wilson

NPI 1083402200 · on the registry since 2025 · sole proprietor

Practice

Address
1332 Gust Ln
Chesapeake, VA 23323
Phone
(757) 270-0526

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Also registered as
Community/Behavioral Health Agency
Sex
Male
Record last updated
2025-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia