| NPI | 1639559800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CALLAHAN Managing Member 757-372-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006017) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |