| NPI | 1275212946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMITRIC WHITE COO 804-481-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-08-07 |