| NPI | 1285357988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MONDEZIE Owner/Therapist 804-439-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-20 |