NPI | 1306092671 |
---|---|
Entity Type | Organization |
Authorized Contact | DELESHIA WILLIAMS Program Director 757-543-1870 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 105705001) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |