| NPI | 1538973292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISHA J COLEMAN CEO 804-586-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |