| NPI | 1073949285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE R BATTEN COO 757-825-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2023) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |