| NPI | 1073242566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA HARRIS Executive Director 804-475-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-07-08 |