| NPI | 1285180752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LEWIS Director 757-244-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 233705001) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |