NPI | 1497122105 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE MICHAEL ENNELS Social Worker 757-439-9026 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904000980) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |