| NPI | 1336220938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTIE A HAIGHT Office Manager 757-874-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-01-08 |