| NPI | 1427120070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEVAR MARKEL ARCHER Director 804-218-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2024-11-26 |