| NPI | 1801332606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HILL Owner 757-766-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701006401) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |