| NPI | 1053799692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE HARRISON Administrator 757-896-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: VA ADC 1045630) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |