| NPI | 1467015834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENTON L WALKER Managing Partner 757-435-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 251S00000X Community/Behavioral Health | |
| 1041C0700X Social Worker, Clinical | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2025-09-16 |