| NPI | 1215263629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TRAVERS DENNIS Executive Administrator 757-218-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701004205) |
| Additional Taxonomies | 251B00000X Case Management (Licence: VA 0701004205) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |