| NPI | 1003990235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH FELICIA MATTOCKS President 804-276-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |