| NPI | 1700779303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FOSTER Executive Director 757-782-2181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |