NPI | 1396193157 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER BAKER Director 434-326-4577 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2016-06-01 |