| NPI | 1417366527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA AIDA BROWNING-MOORE President 757-344-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904003893) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |