| NPI | 1033800289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELLE LEWIS BROWN Owner 804-814-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |