| NPI | 1275301822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TUAZON GATCHALIAN Chief Operating Officer 757-980-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |