| NPI | 1538679352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SEAN NEWMAN Owner 757-876-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 0701005314) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2026-04-01 |