| NPI | 1124901392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DIGGS Chief Executive Officer 757-449-2569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |