| NPI | 1528999588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GOODMAN Owner 757-650-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-05-28 |