| NPI | 1144913260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY HODGES CEO 757-717-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |