| NPI | 1942186051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIELLE N JONES Director Of Operations & Finance 757-998-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |