| NPI | 1518621259 |
|---|---|
| Doing Business As | TELEBEWELL |
| Entity Type | Organization |
| Authorized Contact | CACY HERMAN Lead Administrator 804-573-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |