| NPI | 1588107759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ADAMS CEO 757-310-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0024174260) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0024174260) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |