| NPI | 1073837944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOWANDA SAMPSON Administrator 804-364-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |