NPI | 1124902143 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSA WATERS Owner 804-543-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |