| NPI | 1093384224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIA MILLER Owner/CEO/Program Director 804-874-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |