| NPI | 1467241612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHELLE TIARA PITTMAN Owner 757-696-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |