| NPI | 1417442856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SINCENO CEO 757-410-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008843) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-05-19 |