| NPI | 1235921420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE WIMBISH CEO 757-343-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-28 |