| NPI | 1699547950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA M CAVE Executive And Clinical Director 757-790-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2026-04-13 |