| NPI | 1639760366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PACE Owner/Therapist 757-206-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2022-09-02 |