| NPI | 1770183774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN LAWRENCE Owner 757-646-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-08-17 |