| 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 |