| NPI | 1043693989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MOORE CEO 804-605-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225XM0800X Occupational Therapist Mental Health | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist | |
| 251B00000X Case Management | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-07-21 |