| NPI | 1326343781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROOSEVELT BROWN Chief Executive Officer 757-595-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1571) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2015-04-07 |