| NPI | 1881475556 |
|---|---|
| Doing Business As | WELL WATERED PLACE SUBSTANCE ABUSE AND OUTPATIENT TREATMENT |
| Entity Type | Organization |
| Authorized Contact | JIMEKA L. FITZGERALD Owner/ CEO 757-800-7301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |