| NPI | 1245827070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL J JONES Owner 757-769-4274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2025-07-11 |