| NPI | 1205533510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GOODMAN CEO 757-613-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-05-28 |