NPI | 1881901171 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LARON WALTON CEO 757-748-8882 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1567) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |