| NPI | 1396008264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA KAY GRISET Managing Member 757-810-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003308) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |