| NPI | 1356048094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA HARRIS Owner 804-475-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-07-25 |