| NPI | 1457914806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMESHA HAYWOOD CEO/ Owner 804-901-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2019-04-20 |