| NPI | 1841529807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN AUBREY PARKER CEO 757-256-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1325) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |