| NPI | 1124548581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIKA MONIQUE ALLEN Owner 804-479-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 2710) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-10-25 |