| NPI | 1114557022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ALBRIGHT Owner 757-206-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2024-05-14 |