| NPI | 1144816380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEUENE KENNEDY HICKMAN Chief Executive Officer 757-998-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2024-05-03 |