| NPI | 1457727158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANDICE RUMPH MELVIN CEO 757-755-3253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 2017) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-08-27 |