| NPI | 1114790490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARECA AKINES CEO 757-633-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-31 |