| NPI | 1396398483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BRONSTEIN President 757-660-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |