| NPI | 1063694008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE L COLEMAN CEO 757-673-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 51223) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |