| NPI | 1710285846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD TAYLOR CEO 757-237-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1649-03-001) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-08-31 |