| NPI | 1407665904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA BOWMAN Owner, CEO 757-559-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |