| NPI | 1396533824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LANDIS Director 540-217-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |