| NPI | 1417575010 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | ROBYN RENA NICHOLAS-BARNES President/Director 804-606-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |