NPI | 1215449699 |
---|---|
Entity Type | Organization |
Authorized Contact | YOSHIKO GREEN CEO/Owner 804-691-1949 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2017-10-25 |
Last Update Date | 2025-01-09 |