| NPI | 1942855622 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | GLORIA BROWN MOORE Owner 757-355-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-10-01 |