NPI | 1497175814 |
---|---|
Entity Type | Organization |
Authorized Contact | LASONYA GREEN Program Director/Owner 757-270-6563 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 38988) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2014-04-24 |