| NPI | 1245797083 |
|---|---|
| Doing Business As | REBOOT LLC |
| Entity Type | Organization |
| Authorized Contact | NATHANIEL MOODY CEO 804-426-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |