| NPI | 1982993952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JAY NEWSOME Chief Executive Officer 757-333-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002816) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0812000014) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000051) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |