| NPI | 1700499266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA TAHIRI CEO 757-206-7154 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-03-24 |