| NPI | 1437021813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY KANE Chief Executive Officer 757-796-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |