NPI | 1588073704 |
---|---|
Doing Business As | FERNANDEZ COMMUNITY CENTER |
Entity Type | Organization |
Authorized Contact | KATESHA SHANEE CROMWELL Provisional Outpatient Therapist 757-751-5328 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC P009061) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2014-08-13 |