| NPI | 1366339210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY COTTON Owner 804-933-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-08-25 |