| NPI | 1902338692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PINNOCK CEO 757-399-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 782-03-002) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |