| NPI | 1194342691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA D. KNIGHT Assistant Clinical Director 804-298-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-08-06 |