| NPI | 1558722694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CRAFT Owner/CEO 757-875-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006535) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-08-17 |