| NPI | 1396303772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORRIS SHERMON Executive Director 757-477-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |