| NPI | 1538953385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBERLI DIAMOND Owner 804-687-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |