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 |