| NPI | 1235997164 |
|---|---|
| Doing Business As | BREAKTHROUGH GLOW COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | ALYCIA MARGARET ARCHER Chief Executive Officer 757-996-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |