| NPI | 1457657074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA D BLANDING Clinical Director 757-630-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 0710102185) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |