| NPI | 1003615279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BEATRICE HORNBACK HOLLEY Director/Owner 757-295-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |