| NPI | 1588114110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MEEKINS CEO 757-715-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 215203001) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |