| NPI | 1073223301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CULLEN HARDY Executive Director 434-770-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-12-05 |