| NPI | 1093453326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIN MOIDEEN Medical Director 804-336-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |