| NPI | 1124651930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA EWA Owner 757-761-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-12-31 |