| NPI | 1730330432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN LOUIS HASSELL CEO 757-404-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1097) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |