| NPI | 1023490711 |
|---|---|
| Former Legal Business Name | TRIPLE WILLOW MENTAL HEALTH, INC |
| Entity Type | Organization |
| Authorized Contact | KYLE DON MCCALL President 804-781-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006887) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-11-03 |