| NPI | 1215755095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HINES Clinical Director 804-337-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2026-07-09 |