| NPI | 1427359827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMALITA KOVACH-WATTS Human Resource Director 757-581-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1286-02-014) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |