| NPI | 1497507586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYTH HOOD Licensed Clinical Social Worker 804-986-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |