NPI | 1437448982 |
---|---|
Entity Type | Organization |
Authorized Contact | GENE EDWARD CASH Owner/Provider 804-346-5165 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006828) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0700208) |
251S00000X Community/Behavioral Health | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2025-07-01 |