| NPI | 1477882744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA FEDYSZYN-CARR Director Of Special Programs 757-965-8669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 346-05-011) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-07-20 |