| NPI | 1669114989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN LAUER Owner/Therapist 757-409-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2024-04-15 |