| NPI | 1972768513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE B. LUBIN President 757-625-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: VA 0810000988) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |