| NPI | 1346965316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMBERLY LILES RAINNEY CEO/Clinical Director/Owner 804-248-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |