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 | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TP0016X Psychologist, Prescribing (Medical) | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
261QM0850X Clinic/Center, Adult Mental Health | |
251S00000X Community/Behavioral Health | |
261QC1500X Clinic/Center, Community Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2025-05-22 |