| NPI | 1861562472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET G BAILEY Reimbursement 757-385-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 261) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-04-18 |