| NPI | 1780041343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH WILLIAMS Lcsw 757-268-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0904002584) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-03-31 |