| NPI | 1154881068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROSENBERG GILLIAND Clinical Social Worker 434-989-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |