| NPI | 1225709413 |
|---|---|
| Doing Business As | PROSPERITY/NORFOLK |
| Entity Type | Organization |
| Authorized Contact | HEATHER NELSON BAKER CEO 703-466-5150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |