| NPI | 1457821241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA RENEE TAYLOR Exceutive Manager 804-591-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2024-06-03 |