| NPI | 1417501230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONICKA JOVAN DANIEL COO/President/Co Founder 757-358-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |