| NPI | 1124958301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY MCCRANN Licensed Clinical Social Worker 804-409-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-08-05 |