| NPI | 1609544899 |
|---|---|
| Doing Business As | MELISHA OTERO |
| Entity Type | Organization |
| Authorized Contact | MELISHA OTERO Owner/CEO 804-536-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |