| NPI | 1962920009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE HUSS Owner 757-646-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005648) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-03-17 |