| NPI | 1497047237 |
|---|---|
| Former Legal Business Name | CANDII |
| Entity Type | Organization |
| Authorized Contact | KIM RICHARDSON Billing/Credentialing 757-907-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2020-07-06 |