| NPI | 1053996231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL THOMPSON CEO 757-960-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-08-04 |