| NPI | 1093564650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEMICH CEO 757-536-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |