| 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 |