| NPI | 1750532339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FORBES President 757-377-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0904003164) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |