| NPI | 1295211316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE J SCOTT Lpc 757-309-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2026-01-21 |