| NPI | 1922462761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITTENEY GUYTON Owner/ Director 757-338-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2230) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO161470) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2019-02-19 |