| NPI | 1174016760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SNEED Lpc 804-389-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0701002037) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |