| NPI | 1881165769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLAYTON ROSARIO Chief Executive Officer 757-773-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |