| NPI | 1437652328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HEREK Director 757-272-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-04-10 |