| NPI | 1073231106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL BROOKS Executive Director 757-822-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-01-02 |