| NPI | 1205483807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARYN LEIGH ROSNER GENTRY Owner 804-404-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |