| NPI | 1164251799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREMYLE ROGERS Program Director Of Counseling 757-513-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |