| NPI | 1558105718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY QUINN-SAMUEL CEO 757-739-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |