NPI | 1386967057 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA HARDESTY Co Owner 804-519-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |