| NPI | 1053262824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KADERLI Owner 804-214-7663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-02-06 |