| NPI | 1154885366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HARRIS Executive Director/Therapist 757-537-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-03-23 |