| NPI | 1851071047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY DUCKETT Owner 757-577-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |