| NPI | 1407351752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SCHAD Owner 434-218-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: VA 0810005227) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: VA 0810005227) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |