| NPI | 1609623875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNESHIA S. EDMOND Owner 757-289-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-05-04 |