| NPI | 1184258030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRADLEY CEO 804-938-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2023-12-31 |