| NPI | 1588440119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIMISHIA HOLLOWAY Registerd Nurse 757-749-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-10-30 |