| NPI | 1326866708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HUNTT Owner 540-753-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2025-01-17 |