| NPI | 1164567046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA I HARRIS President 804-261-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: VA 46105001) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 46105001) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-08-14 |