| NPI | 1770363715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON ASHWORTH VP Of Operations 757-827-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-10-27 |