| NPI | 1437871753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL CLANTON CEO 757-529-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-10-11 |