| NPI | 1750749735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA THOMAS JOHNSON CEO 757-775-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2640) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |