| NPI | 1992696777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE DENISE BUTLER CEO/Clinical Director 757-510-6089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |