| NPI | 1760171318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHNAVIAN MONIQUE SHANDS Owner/CEO/Parnter 757-645-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-08-29 |