| NPI | 1699700096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS H CHESSEN President 757-595-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: VA 009-02-001) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |