| NPI | 1942634126 |
|---|---|
| Doing Business As | MARY'S MANGER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M HAYWOOD Owner 757-735-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-08-24 |