| NPI | 1780926543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLYN INEZ THOMPSON CEO 757-746-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 175703001) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |