| NPI | 1225923378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MONIQUE BLANTON Program Director/Owner 434-390-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |