| NPI | 1992371835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID CLOTEZ Founder/Director 757-742-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |