NPI | 1346629581 |
---|---|
Entity Type | Organization |
Authorized Contact | ULYSESS GRAY President 757-544-5020 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2015-05-20 |