| NPI | 1164005682 |
|---|---|
| Former Legal Business Name | MISERYLANDE THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | EBONI VINSON Manager 757-344-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-08-20 |