| NPI | 1730504762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANDICE RUMPH Director 757-755-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2025-08-27 |