| NPI | 1316499049 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANNIE ROBINSON Owner 757-777-2092  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2016-10-28 | 
| Last Update Date | 2025-07-25 |