| NPI | 1588307540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELECIA WILSON Owner 804-276-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261Q00000X | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-08-05 |