AMAZING STAR GROUP HOME CORPORATION is a health service psychologist in Norfolk, VA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). AMAZING STAR GROUP HOME CORPORATION NPI is 1184081739. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
861 GLENROCK RD
SUITE 114
NORFOLK, VA
ZIP 23502-720
Phone: (757) 706-2273
Fax: (757) 893-9266
The provider's authorized official is David Etute .
The authorized official title is Pres/ceo and has the following contact phone number (757) 706-2273.
The enumeration date for this NPI number is 1/26/2016 and was last updated on 1/26/2016.