| NPI | 1124542949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ELIZABETH WOERNER Director Of Outpatient 757-431-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2023-06-22 |