| NPI | 1205519386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTAY N TILLMAN CEO 804-635-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-04-18 |