| NPI | 1659266708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME NOEL JOHNSON Co Owner 757-348-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |