| NPI | 1235753476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA RANDOLPH Co Owner 804-241-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-01-21 |