| NPI | 1538503750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHINA ANNETTE SIMMS Owner 757-609-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-08-09 |