| NPI | 1679916316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NUMITAL THORNTON Clinical Director 757-237-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |