| NPI | 1861743346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MORGAN FRANCIS CAO 757-748-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1564) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |