| NPI | 1457056087 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KATHRYN WILDER SCHAAF Owner, Lcp 804-512-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |