| NPI | 1497856090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINIA RAGLAND Credentialing Contact 434-972-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |