| NPI | 1679813307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MARTIN CEO/Owner 757-224-0537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1951-03-001) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2026-07-29 |