| NPI | 1285489765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUISE HARDISON Co CEO 757-372-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |