| NPI | 1982219044 |
|---|---|
| Former Legal Business Name | HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC |
| Other Name | HAZEL GRAY FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | DESIREE DEVONNE SMITH CEO 757-532-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2026-06-09 |