| NPI | 1427816909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DANIELLE PAYNE Co CEO 804-467-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |