| NPI | 1063141018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNA JOHNSON Owner 757-535-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-07-25 |