| NPI | 1609543693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY L JOHNSON Owner 757-409-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 172V00000X Community Health Worker | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-09-06 |