| NPI | 1619720166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMAH JORDAN Executive Director 804-738-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-10-22 |