| NPI | 1538639158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE M. JURON Co Owner 757-425-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |