NPI | 1962040626 |
---|---|
Other Name | OMHC |
Entity Type | Organization |
Authorized Contact | JILL MARIE GRIER Credential Contact 757-631-2723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2023-03-31 |