| NPI | 1891040408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI KEESEE Chief Financial Officer 757-753-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1633) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |