| NPI | 1952745341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH MAUPIN Chief Executive Officer 757-813-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |