| NPI | 1669065645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NETSANET ABRAHA TEGEGN Owner 757-568-5582 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |