| NPI | 1730987827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA KAYE BRUCE Owner/Clinician 757-937-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-18 |