| NPI | 1023864931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA SMITH CEO 804-382-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QV0200X Clinic/Center, VA | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2026-01-04 |