| NPI | 1194314930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ELISE BAKER Owner, Lpc 757-768-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-04-16 |