| NPI | 1841754272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETTA MICHELLE COURTS-NORTON Owner/Director 757-508-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |