| 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 |