| NPI | 1467117143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA Y SWAIN Chief Executive Officer 540-348-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-03-19 |