| NPI | 1477270130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HINES Director 757-769-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-06-27 |