| NPI | 1477150068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HARPER GIBSON Chief Operating Officer 434-728-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |