NPI | 1578242053 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISHA NARDIA PARKER CEO 757-528-2850 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2023-07-13 |
Last Update Date | 2024-09-06 |