| NPI | 1225610165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELLE ARNETTE BURNEY Principal Owner 757-332-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |