| NPI | 1174212898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA CHAMBERLAIN Owner 757-535-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |