NPI | 1073049946 |
---|---|
Entity Type | Organization |
Authorized Contact | DHAIMA MARTIN CEO 757-918-5481 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA S4757185) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |