| NPI | 1659586071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY BAKER President 757-287-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904 000019) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |