| NPI | 1598502304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER AQUINO LEVINE Owner/Manager 757-287-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-02-13 |