| NPI | 1669151882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATONYA NICOLE ENSLEY Director 757-323-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |