| NPI | 1063936979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUISE LONNELL ROSE Chief Executive Officer 804-833-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |