| NPI | 1386465680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZECHUKWU PRINCE IBEKWE CEO 804-247-3997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-11-17 |