| NPI | 1487370003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHRISTINA KERR Part Owner 757-237-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |