| NPI | 1427182815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMA M HYDER Owner 757-627-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0101238635) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |