| NPI | 1144516923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BRATTON Credentialing 804-497-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2026-04-27 |