| NPI | 1174066955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L TAHA Executive Director 804-399-9042 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |