| NPI | 1245791995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWANNA EVETTE WARD-HALL Chairman 757-395-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-09-06 |