| NPI | 1750198214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHANADA VAZQUEZ CEO 757-301-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |