NPI | 1275921520 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA BOURDON Director 757-345-6428 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0803000251) |
Enumeration Date | 2015-01-08 |
Last Update Date | 2015-01-08 |