| NPI | 1104668334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DEION COURTNEY Clinician 434-218-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |