| NPI | 1003383126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HORNSTRA Owner 804-305-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |