| NPI | 1164806196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA DEBORAH FARRINGTON Administrator 757-270-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |