| NPI | 1841389004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L ANDERSON Program Director 757-344-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102044) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-07-21 |