| NPI | 1942447511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BATTEN Office Manager 757-595-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003390) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0718000221) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: VA 0001071668) | |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |