| NPI | 1396022323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PINNOCK President 757-399-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 78203001) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |