| NPI | 1174714794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYANA C STEVENSON President 757-581-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006954) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102115) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2009-01-24 |