| NPI | 1144166364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SHAHEEN CEO 757-340-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-07-27 |