| NPI | 1164416533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BOWE HUGHES Clinician 757-255-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: VA 0904002622) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |