NPI | 1578837761 |
---|---|
Entity Type | Organization |
Authorized Contact | MERCEDES SANTOS-BELL Co Owner 757-350-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2025-04-04 |