| NPI | 1063374890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA-RETHA BROWN Managing Member 757-284-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |