| NPI | 1598609315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA HAYES Lmhp R 757-805-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-06-24 |