| NPI | 1841986007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMAH JORDAN Chief Executive Officer 757-699-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YP2500X Counselor, Professional | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2026-01-20 |