| NPI | 1861829764 |
|---|---|
| Doing Business As | THE ETHOS LEADERSHIP GROUP |
| Entity Type | Organization |
| Authorized Contact | MELISSA M. GOMES Clinical Director 757-251-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024170504) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-24 |