| NPI | 1457640575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEEVAR ADAMS Owner/CEO 252-258-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1644) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |