| NPI | 1407542475 |
|---|---|
| Other Name | HENRY M MATTHEWS JR |
| Entity Type | Organization |
| Authorized Contact | TAWANA TAYLOR Account Manager 804-250-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-09-12 |