| NPI | 1740780345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISA GLOWCZAK Director/Counselor 757-572-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0701007162) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |