| NPI | 1710217021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SILVERBERG Owner 757-348-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 12828700008900) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |