| NPI | 1861877573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL O'MARAH Lead Therapist 757-223-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |