| NPI | 1275304180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE WASHINGTON CEO 757-344-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-16 |