| NPI | 1275833774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MANGUM CEO 434-575-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2014-02-14 |