| NPI | 1588446231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN FITZGERALD CEO 757-634-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-24 |