| NPI | 1114690047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE NEWSOME President 757-344-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 101Y00000X Counselor | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-10-10 |