| NPI | 1255224226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORNA HUNTER-MOOREHEAD Owner 757-513-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |