NPI | 1134967359 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIUS JENGE President 757-738-7493 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
261QC1500X Clinic/Center Community Health | |
Enumeration Date | 2024-07-20 |
Last Update Date | 2024-07-20 |