| NPI | 1013740075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL YOUNG Licensed Professional Counselor 757-572-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-09-04 |