| NPI | 1972301745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA PARKER President 757-672-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-09-17 |