NPI | 1750541405 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA G CAPPETTA President 757-253-5708 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701001146) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: VA 0717000489) | |
Enumeration Date | 2008-06-16 |
Last Update Date | 2008-06-16 |