| NPI | 1831521533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NUMITAL THORNTON Chief Exective Officer 757-580-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-05-28 |