| NPI | 1437005071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA RENEE WYCHE Owner 804-618-4942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |