NPI | 1679208011 |
---|---|
Doing Business As | RENEWED FOUNDATIONS MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | TERRINDA ALSTON Owner/Provider 757-739-4577 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-07-20 |
Last Update Date | 2024-10-17 |