| NPI | 1548051873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATYE SNIPES School Administrator 804-822-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-22 |