| NPI | 1992190128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAMANDA WARD Owner 757-287-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-06-03 |