| NPI | 1366780942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVON PANNELL Owner/Licensed Professional Counsel 804-878-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0701005389) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |