| 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 |