| NPI | 1225310048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL LYNNE SPATES CEO 757-352-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 046-036) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |