| NPI | 1265288450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYCHELLE BROWN Program Director 804-625-1094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2026-02-23 |