| NPI | 1639783756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOUIS ALLEN Licensed Professional Counselor 757-880-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-09 |