| NPI | 1831928324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE REEVES Owner 757-837-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-04-07 |