NPI | 1275117756 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDREA JACKSON Owner 804-210-2360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-05-10 |
Last Update Date | 2021-05-10 |