| NPI | 1770328643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA RENEE JONES Owner/CEO 757-227-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-11-15 |