| NPI | 1154002616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA CLEMONS RN, Executive Director, Owner 757-937-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-08-06 |