| NPI | 1740977511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LAWRENCE Licensed Professional Counselor 757-592-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-21 |