| NPI | 1548099716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DUPREE Counselor 757-790-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |