| NPI | 1427641877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL R TAPP B Illing & Credentialing Manager 434-219-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-17 |