| NPI | 1578395877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAE D SYKES CEO 804-255-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-10-17 |