| NPI | 1952934721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENAN BROWN Owner, CEO 757-770-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251E00000X Home Health | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |