| NPI | 1184203069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDA WARREN-LILLY CEO/Owner 757-822-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-02-01 |