NPI | 1568883569 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA PHELPS CORBIN Operations Manager 757-228-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1679) |
Enumeration Date | 2013-12-18 |
Last Update Date | 2013-12-18 |