| NPI | 1639500077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA CHASE Executive Director 757-624-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2025-04-21 |