| NPI | 1669860797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA L AGUILAR President 757-427-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904004704) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |