| NPI | 1477304509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKESHA EVANS CEO 757-334-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-06-23 |