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