| NPI | 1548780869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE LAMONTE RICHARDS Clinical Director 757-749-6119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 0710102796) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |