| NPI | 1417313453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANENE J WOLFE Lcsw/Owner 757-515-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0904007144) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-10-21 |