| NPI | 1144717687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE TOLIVER Owner 804-572-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2921) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |