| NPI | 1538452552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA WILLIAMS Manager 757-605-8843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |