| NPI | 1598415960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. HESTER Clinical Director 757-335-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |