| NPI | 1386716744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA R. THOMAS Executive Director 757-566-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-09-16 |