NPI | 1104395136 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANELLE HENDERSON Owner 540-701-0704 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-11-20 |
Last Update Date | 2018-11-20 |