| NPI | 1629610035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MCCLOUD CEO 540-206-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-09-26 |