| NPI | 1649809849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA AFRODITE NICHOLE GRIFFIS Psychotherapist 757-831-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |