| NPI | 1144453663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDA R. ALSTON President/CAO 757-393-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102537) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701004622) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701004622) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2013-02-23 |