| NPI | 1215398698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STULTZ SHERRILL Owner, Authorized Official 276-634-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701006438) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2026-04-07 |