| NPI | 1801363189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELESHIA WILLIAMS Program Director 757-285-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |