NPI | 1265022354 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA CHILDRESS Owner 804-641-5176 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |