| NPI | 1962264960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA SADE' PETERSON Owner/ CEO 757-718-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-08-28 |