| NPI | 1710527585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERTS Assistant Secretary 757-828-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YS0200X Counselor, School | |
| 103TC1900X Psychologist, Counseling | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 374K00000X | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2025-02-03 |