| NPI | 1902307176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEACIA SESSOMS Chief Executive Officer 757-738-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-10-04 |