| NPI | 1881032183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCETTA D WOOTEN President 757-592-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1742) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |