| NPI | 1487054342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE DUNCAN Credentialing Specialist 434-533-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2026-07-15 |