| NPI | 1154925865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVON RAMEL SMITH Chief Executive Officer 757-572-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-08-08 |