| NPI | 1316321128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA BILLS CEO 757-424-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710101904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701000838) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |