| NPI | 1215449699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSHIKO GREEN CEO/Owner 804-691-1949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-11-22 |