| NPI | 1770311888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA M GARCIA PEREZ Director 757-414-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC1900X Psychologist Counseling | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |