| NPI | 1952776387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE L MASON President 757-377-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810004787) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |