NPI | 1134624117 |
---|---|
Entity Type | Organization |
Authorized Contact | NINA NICOLE KEELER Owner 757-537-1929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |