| NPI | 1629740212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER PIEDRA HUGHES Member/Owner 804-314-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |