NPI | 1477910511 |
---|---|
Entity Type | Organization |
Authorized Contact | FERHAT KAKOUCHE Owner 757-240-7467 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2477) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2021-12-08 |