NPI | 1912561713 |
---|---|
Entity Type | Organization |
Authorized Contact | LEVITICUS LOFTON CEO 757-447-0102 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2019-04-26 |
Last Update Date | 2022-03-21 |