| NPI | 1225514219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY E HUGHES Owner 757-509-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: GA CSW005805) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |