| NPI | 1184460222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HINES Executive Director 804-337-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-10-18 |