| NPI | 1689246118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANDRE HAWKINS Chief Executive Officer 757-813-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-22 |