| NPI | 1174112692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA HAMLIN CEO/Owner 804-675-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-19 |