| NPI | 1114382009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL CUFFEE CEO / Program Director 757-735-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1681-03-001) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |