| NPI | 1194923144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M. PARIS Clinical Director/Owner 757-477-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904003177) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |