| NPI | 1346558376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAAL AUSTIN MOORE School Socail Worker 757-450-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM X-07138) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |