| NPI | 1225527351 |
|---|---|
| Doing Business As | AUTHENTIC SELF COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | JIMMY COOPER CEO/Owner 757-977-9675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 261QP2300X Clinic/Center Primary Care (Licence: VA 46193) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-01-21 |