| NPI | 1043030729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA ELIZABETH BROWNSON CEO 757-895-6984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-12-06 |