| NPI | 1669137121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RYAN Senior VP/CFO 757-668-7065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |