| NPI | 1942672290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAME LEE Executive Director 757-725-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2474) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |