| NPI | 1053149419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA DREW Director Of Operations 757-613-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |