| NPI | 1508409152 |
|---|---|
| Doing Business As | OBSIDIAN COUNSELING AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | NATASHA BECKUM Chief Executive Officer/Lpc 757-453-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-04-02 |