| NPI | 1184431835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCCAULEY Owner 804-796-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-17 |