| NPI | 1811637465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLANA LEE-HOLT Owner 757-553-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-04-13 |