| NPI | 1841081254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL BROOKS President 757-822-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |