| NPI | 1497484851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHERIDA FIELDS LANKFORD Chief Financial Officer 757-208-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-10-04 |