| NPI | 1487536819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYREE DEANA TALLEY CEO 804-503-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |