| NPI | 1093681553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH DAVES Owner 757-773-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |