| NPI | 1386479640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN DEMOND WILLIAMS Owner 757-738-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |