| NPI | 1578261855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DIAMANTIS Owner 757-559-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-04-01 |