| NPI | 1215775903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HARRIS-BONNER Np 804-894-3496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-19 |