| NPI | 1659424448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALE CHRISTIAN Executive Director 757-788-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: VA 019) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-05-21 |