| NPI | 1861647612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE WALTERS MCFERRON Family Therapist 757-486-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701000857) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |