| NPI | 1447109806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL TRAWEEK Authorized Official 804-696-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-03-30 |