NPI | 1235658352 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE REYES Chief Operations Officer 757-461-5098 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-09-11 |
Last Update Date | 2017-09-11 |