| NPI | 1851251623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GOODMAN COO 757-650-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2026-05-28 |