Provider Demographics
NPI:1346127594
Name:DIVERSIFIED COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:DIVERSIFIED COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-323-7832
Mailing Address - Street 1:PO BOX 1806
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-0806
Mailing Address - Country:US
Mailing Address - Phone:757-323-7832
Mailing Address - Fax:
Practice Address - Street 1:197 W QUEEN ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4088
Practice Address - Country:US
Practice Address - Phone:757-323-7832
Practice Address - Fax:757-323-7832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health