| NPI | 1316445463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISSA L. MILLER CEO/Therapist 757-452-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701007277) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2025-08-27 |