NPI | 1205184413 |
---|---|
Entity Type | Organization |
Authorized Contact | VALDIMIR DEMONT HANDY Executive Director 757-818-3341 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1693) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2017-03-14 |