| NPI | 1841514999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DAVIS Owner/CEO 757-419-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1402-05-001) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2014-12-26 |