| NPI | 1003636895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA YOUNG Owner 757-650-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-08-07 |