| NPI | 1376228759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN FERNANDEZ CEO 804-919-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |