| NPI | 1356057913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEE FLEMING Co Owner 804-805-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-09-05 |