NPI | 1437674900 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDRE LAMONT POWELL CEO 757-619-0658 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP1600X Counselor Pastoral | |
251E00000X Home Health | |
Enumeration Date | 2017-08-07 |
Last Update Date | 2023-05-23 |