| NPI | 1588137913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURTADHA A SHAHEEN Manager 804-305-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |