| NPI | 1215424288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRIA PIERCE Owner 804-223-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 0701005303) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |