| NPI | 1033475116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA KI NG Clinical Director 757-873-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-07-21 |