| NPI | 1205587508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZARELL WILLIAMS Owner Operator 804-497-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-19 |