NPI | 1144069634 |
---|---|
Entity Type | Organization |
Authorized Contact | ASONNA JOHNSON CEO 804-471-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-05-23 |
Last Update Date | 2024-05-23 |