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 |