| NPI | 1427725902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BOWMAN Owner 540-722-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-01-06 |