| NPI | 1700434222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN KUNEMUND Owner 757-560-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |