| NPI | 1568122208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WALKER Owner 757-204-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |