| NPI | 1154723617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA SMITH CEO 804-477-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2024-04-11 |