| NPI | 1285065979 |
|---|---|
| Doing Business As | DENISE RAE MULLINS |
| Entity Type | Organization |
| Authorized Contact | DENISE RAE MULLINS Owner 757-483-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001609) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000608) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |