| NPI | 1477097327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYREETA MARSHEA REDD C Eo 757-998-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2560) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |