| NPI | 1760811046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MURCH Program Manager 757-823-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904002482) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |