| NPI | 1164319331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WIGGINS Member 757-771-5088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 174400000X Specialist | |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-09-23 |