| NPI | 1588462352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATACHA WILLIAMS Biller/Credentialing 757-608-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |