| NPI | 1306503263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C HOLLAND Owner / Therapist 757-291-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2022-02-21 |