| NPI | 1679925929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI SUE HURSEY-WINGATE Licensed Professional Counselor 757-773-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701004622) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |