| NPI | 1144604927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT CEO 757-818-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2632-02-029) |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |