NPI | 1104287804 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA ROBIN CURRAN-TAYLOR Practice Owner 757-373-5128 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004008) |
Enumeration Date | 2016-03-09 |
Last Update Date | 2020-07-24 |