| NPI | 1932385945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY FULLER CEO/Administrator 757-576-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0001210835) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |