| NPI | 1982043345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE WASHINGTON Owner/CEO 757-344-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-04-16 |