| NPI | 1710578869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GOLDEN CEO 757-943-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |