| NPI | 1740457811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA BILLS Director 757-620-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |