| NPI | 1952898991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICHOLE CASTLEBERRY Executive Director 757-581-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |