| NPI | 1184930463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA DENISE PRINCE Owner 804-399-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 895-03-001) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2018-10-29 |