| NPI | 1639533672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE LENISE WILLIAMS COO 757-622-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2025-12-15 |