| NPI | 1417578469 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | ALAFEYA BAILEY Clinician 757-606-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-08-27 |