| NPI | 1659259083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYIA M BANKS Owner 757-328-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |