| NPI | 1215352521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI MARKEL Manager 804-303-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0904002644) | |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2024-08-27 |