| NPI | 1134806250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN LITTA LAZARO Owner 757-286-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-07-25 |