| NPI | 1447774518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTIS WHIGHAM Owner 434-363-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-21 |