| NPI | 1407511660 |
|---|---|
| Doing Business As | SHAMEKA BOLDEN |
| Entity Type | Organization |
| Authorized Contact | SHAMEKA BOLDEN Director Of Clinical Services 540-880-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-08-22 |