| NPI | 1538887898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LAROY FOSTER Executive Director 757-947-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-06-25 |