| NPI | 1407550999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE DENEEN OTEY-SCOTT President/CEO 757-559-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-10-30 |