| NPI | 1538760798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA STONE Owner 434-608-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2021-05-12 |