| NPI | 1124255260 |
|---|---|
| Other Name | HOUSE OF REFUGE |
| Entity Type | Organization |
| Authorized Contact | TEISHA ETHERIDGE Program Director 757-560-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006954) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0812000532) |
| 101Y00000X Counselor (Licence: VA 0710102115) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102115) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |