| NPI | 1215455969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE ELAINE CURRY Owner/Managing Member 757-537-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: PA PC008779) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2022-08-15 |