| NPI | 1346616984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLL MARIE HAWTHORNE Executive Director 757-218-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0810003069) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-21 |